MAD RIVER COMMUNITY HOSPITAL
NPI 1609979707
Clinic/Center - Rural Health in Arcata, CA
About Mad River Community Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAD RIVER COMMUNITY HOSPITAL (NPI 1609979707) is a healthcare organization registered as a rural health in Arcata, California and active in the NPI registry since September 2006. The organization lists Douglas Allen Shaw, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mad River Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by February 28, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Mad River Community Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is American Hospital Management Corporation's NPI number?
The NPI number for American Hospital Management Corporation is 1609979707. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Mad River Community Hospital. The provider is also known as Mad River Express Care.
Where is American Hospital Management Corporation located?
American Hospital Management Corporation is located at 3800 Janes Rd, Arcata, CA 95521. The listed phone number is (707) 822-3621.
What is American Hospital Management Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is American Hospital Management Corporation enrolled in Medicare?
Yes. American Hospital Management Corporation is registered in the Medicare PECOS enrollment system.
When is American Hospital Management Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), American Hospital Management Corporation holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through American Hospital Management Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians reassign their Medicare billing to American Hospital Management Corporation, in Clinical Social Worker, Emergency Medicine, Family Practice, Internal Medicine, Nurse Practitioner and 1 other specialty. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for American Hospital Management Corporation was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mad River Community Hospital · NPI 1609979707
Rural Health organization in Arcata, California. Organization record, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1609979707 (Entity type: Organization)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** American Hospital Management Corporation
- **Also known as:** MAD RIVER EXPRESS CARE (Other Name)
- **Organization subpart:** No
- **Authorized official:** Douglas Shaw, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 3800 JANES RD, Arcata, CA 95521-4742
- **Phone:** (707) 822-3621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (2), Nurse Practitioner (2); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2019
- **Other identifiers:** Medicaid 1609979707 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609979707) · Data from the CMS NPPES public registry.