NPIMap

Organization Active NPI

Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
National Provider Identifier
1093760944
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
150145H Issued in IA
Legal business name
CASS COUNTY MEMORIAL HOSPITAL
Practice address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone
(712) 243-3250
Fax
(712) 243-7587
NPI assigned
May 22, 2006
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Ms. Abbey Stangl
Title
Cfo
Phone
(712) 243-7804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 150145H IA Primary

Addresses

Primary practice location

1501 E 10TH St
Atlantic, IA 50022-1936

Mailing address

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Other identifiers 2

IdentifierTypeStateIssuer
0600395MedicaidIA
60039OtherIAWELLMARK BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071126000266 IA Part A Provider - Critical Access Hospital 5294634994 Receives reassigned benefits from 124 practitioners
Practice locations: Atlantic, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093760944. Details of each certification follow.

Hospital certification: CCN 161376

Legal name
CASS COUNTY MEMORIAL HOSPITAL
Doing business as
CASS COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2005
Last certification
Apr 8, 2025
Beds
29 (25 certified)
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1966 in IA
Enrollment address
1501 E 10TH St
Atlantic, IA 50022-1936
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cass County Memorial HospitalCCN 161376 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Cass County Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Brett a Altman Individual Corporate OfficerCeo Jan 3, 2017
W-2 Managing EmployeeCeo Jan 3, 2017
Operational/Managerial ControlCeo Jan 3, 2017
Nathan Brown Individual Corporate Director Mar 24, 2009
Linda Pelzer Individual Corporate Director Nov 20, 2019
Julia Ann Pollock Individual Corporate Director Jan 1, 2013
Kolton E Hewlett Individual Corporate OfficerChro/Interim Cfo Dec 30, 2023
W-2 Managing EmployeeChro/Interim Cfo Dec 30, 2023
Joanne Lorence Individual Corporate Director Jul 20, 2016
Leanne Pellett Individual Corporate Director Jan 1, 2009
Roger Lynn Herring Individual Corporate Director Jan 1, 2013
Michael John Klocke Individual Corporate Director Jan 1, 2017

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Griswold Medical CenterGriswold, IA, CCN 168525 Rural health clinic Operational/Managerial Control May 25, 2007
Massena Medical CenterMassena, IA, CCN 168524 Rural health clinic Operational/Managerial Control May 25, 2007
Anita Medical CenterAnita, IA, CCN 168526 Rural health clinic Operational/Managerial Control May 25, 2007

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 124

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.

View all 124

Affiliated clinicians 178

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

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1093760944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-3250",
            "fax_number": "712-243-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-3250",
            "fax_number": "712-243-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-243-7804",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "150145H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600395",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "60039",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.