NPIMap

Organization Active NPI

Guthrie County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Guthrie Center, IA
National Provider Identifier
1073696571
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
390176H Issued in IA
Legal business name
GUTHRIE COUNTY HOSPITAL
Doing business as
Guthrie County Hospital
Practice address
710 N 12TH St
Guthrie Center, IA 50115-1549
Phone
(641) 332-2201
Fax
(641) 332-2276
NPI assigned
Oct 20, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GUTHRIE COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mr. Christopher R Stipe
Title
Ceo
Phone
(641) 332-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 390176H IA Primary

Addresses

Primary practice location

710 N 12TH St
Guthrie Center, IA 50115-1549

Mailing address

710 N 12TH St
Guthrie Center, IA 50115-1549
Phone (641) 332-2201

Other identifiers 1

IdentifierTypeStateIssuer
66018OtherIAWELLMARK

Other names 1

  • GUTHRIE COUNTY HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lavonneh@gcho.securechart.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061128000179 IA Part A Provider - Critical Access Hospital 6204745110 Practice locations: Guthrie Center, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073696571. Details of each certification follow.

Hospital certification: CCN 16Z314

Legal name
GUTHRIE COUNTY HOSPITAL
Doing business as
GUTHRIE COUNTY HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
710 N 12TH St
Guthrie Center, IA 50115-1549
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Theodore R Liautaud DO5 organizations share this tax ID, including this one
Part of
Theodore R Liautaud DO

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Brandon G Johnson Individual Corporate OfficerCfo May 28, 2024
W-2 Managing EmployeeCfo May 28, 2024
Operational/Managerial ControlCfo May 28, 2024
Austin J Boeckman Individual W-2 Managing EmployeeMD; Jan 1, 2025
Operational/Managerial ControlMedical Director Jan 1, 2025
Central Iowa Hospital Corporation Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Jan 1, 2014
Doris M Terwilliger Individual Corporate Director Jan 3, 2023
Douglas I Kent Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 2, 2021
Sheyrl a Clark Individual Corporate Director Jan 3, 2023
Dana L Tews Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 25, 2021
Michael L Underwood Individual Corporate Officer Jan 1, 2018
Corporate Director Jan 3, 2017
Emily a Donovan Individual Corporate Director Jan 2, 2025
Christopher R Stipe Individual Contracted Managing EmployeeCeo Jul 31, 2023
Corporate OfficerCeo Jul 31, 2023
Operational/Managerial ControlCeo Jul 31, 2023
Cheryl L Marks Individual Corporate Officer Jan 1, 2021
Corporate Director Jul 20, 2020

Owners & managing parties with NPI records 7

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

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1073696571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-2201",
            "fax_number": "641-332-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-2201",
            "fax_number": "641-332-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUTHRIE COUNTY HOSPITAL",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "STIPE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-332-2201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "390176H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "66018",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lavonneh@gcho.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Guthrie County Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N 12th St",
            "city": "Guthrie Center",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501151544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GUTHRIE COUNTY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guthrie Center, IA

Sources for this page

Verify at the official NPI Registry.