Organization Active NPI

Community Memorial Healthcenter Association

Doing business as Community Memorial Health Center

  • Skilled Nursing Facility
  • Hartley, IA
National Provider Identifier
1013025386
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
710779 Issued in IA
Legal business name
COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION
Doing business as
Community Memorial Health Center
Practice address
231 N 8TH Ave W
Hartley, IA 51346-1077
Phone
(712) 728-2428
Fax
(712) 728-2429
NPI assigned
Aug 28, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark G Schulz
Title
President
Phone
(712) 728-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 710779 IA Primary

Addresses

Primary practice location

231 N 8TH Ave W
Hartley, IA 51346-1077

Mailing address

231 N 8TH Ave W
Hartley, IA 51346-1077
Phone (712) 728-2428

Other identifiers 1

IdentifierTypeStateIssuer
0801803MedicaidIA

Other names 1

  • COMMUNITY MEMORIAL HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000692 IA Part A Provider - Skilled Nursing Facility 5799717476 Practice locations: Hartley, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013025386. Details of each certification follow.

Skilled nursing facility certification: CCN 165177

Legal name
COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION
Doing business as
COMMUNITY MEMORIAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1992
Last certification
Nov 7, 2024
Beds
62
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
231 N 8TH Ave W
Hartley, IA 51346-1077
Nursing home name
COMMUNITY MEMORIAL HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community Memorial Health CenterCCN 165177 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Dec 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6244.2 residents per day on average
Penalties (3 years)
2Fines totaling $44,528

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 56

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Coppage LTC Pharmacy Consulting PLC Organization, Algona, IA LLC, Consulting firm Adp of the SNF Jul 20, 2022
Mark Riedemann Individual Corporate OfficerTreasurer Mar 1, 2019
Joyce Tewes Individual Corporate Officer Mar 1, 2022
Individual Adp of the SNF Jun 30, 2023
Individual Adp of the SNF Oct 1, 2024
Steven Ziller Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Sep 25, 2025
Individual Adp of the SNF Jun 30, 2023
Colleen Ann Paulsen Individual Corporate OfficerPresident Mar 1, 2020
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Blue Stone Therapy Inc Organization, Urbandale, IA Corporation, Consulting firm Adp of the SNF Jun 30, 2023
Individual Adp of the SNF Oct 1, 2024
Curt Stoltz Individual Corporate OfficerVice President Mar 1, 2020
Kerrie Morey Individual Operational/Managerial Control Feb 28, 2021
Individual Adp of the SNF Dec 31, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Jul 23, 2012
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Rdi Computer Networking Organization, Milford, IA Corporation, Consulting firm Adp of the SNF Dec 31, 2024
Kristy Mills Individual Corporate DirectorDirector Jan 26, 2023
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Dec 21, 2021
Cattail Inc Organization, Muscatine, IA Corporation Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, IA Corporation Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Iowa Health Care Association Organization, West Des Moines, IA Corporation Adp of the SNF Oct 1, 2024
Laverne Van Loon Individual Corporate DirectorDirector Jul 1, 2024
Individual Adp of the SNF Oct 1, 2024
Laura Wallace Individual Operational/Managerial Control May 8, 2024
Daryl Krikke Individual Operational/Managerial Control Jan 21, 2016
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Ecsi Inc Organization Corporation Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Linda Carstensen Individual Operational/Managerial Control Feb 25, 2013
Individual Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Jul 23, 2012
Individual Adp of the SNF Jul 23, 2012
Individual Adp of the SNF Oct 1, 2024
K F Murphy Co PC Organization, Sheldon, IA Corporation Adp of the SNF Jul 23, 2012
Colleen M Wurm King Individual Adp of the SNF Oct 31, 2019
Amy C Jochims Individual Operational/Managerial Control Sep 1, 2022
Adp of the SNF Sep 25, 2025
Individual Adp of the SNF Oct 1, 2024
Sandra Zearing Individual Operational/Managerial Control Jul 6, 2022
Cattail BCG LLC Organization, Muscatine, IA LLC Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024
Jill Vander Veen Individual Corporate DirectorDirector Jan 26, 2023
Individual Adp of the SNF Oct 1, 2024
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024
Individual Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1013025386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N 8TH AVE W",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461077",
            "telephone_number": "712-728-2428",
            "fax_number": "712-728-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N 8TH AVE W",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461077",
            "telephone_number": "712-728-2428",
            "fax_number": "712-728-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HEALTHCENTER ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-728-2428"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "710779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801803",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEMORIAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartley, IA

Sources for this page

Verify at the official NPI Registry.