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Regional Health Services of Howard County

Organization Active NPI Rural Health Clinic/Center · Elma, IA

NPI 1104440809 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1104440809
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Practice address
600 Busti Ave
Elma, IA 50628-8090
Phone
(000) 000-0000
NPI assigned
May 29, 2020
Organization subpart
No

Authorized official

Name
Brandon Brevig
Title
Cfo
Phone
(563) 547-6677

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 11

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

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

Facilities with the same owner 5

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

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 56

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2186912Elma Medical Clinic
600 Busti Ave, Elma, IA 50628		Certificate of waiverJun 22, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Rural health clinic certification: CCN 168648

Legal name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Doing business as
ELMA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 11, 2020
Last certification
Sep 30, 2025
Ownership / control type
2B
Organization structure
Other · Non-profit
Enrollment address
600 Busti Ave
Elma, IA 50628-8090
Related CCNs
161328

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Darlene a Vsetecka
Individual 		Corporate Director
Board of Trustee		 Jul 19, 2022
Jeremy C Johnston
Individual 		Corporate Director
Board Member		 Sep 22, 2017
Helen J Kapler
Individual 		Corporate Director
Board Member		 Sep 4, 2012
Charles L Malek
Individual 		Corporate Director
Board of Trustee		 Jul 19, 2022
Howard County
Organization · Cresco, IA 		5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Mike W Mahr
Individual 		Corporate Director
Board Member		 Jan 2, 2013
Robin M Schluter
Individual 		Contracted Managing Employee
Ceo		 Dec 17, 2012
Corporate Officer
Ceo		 Dec 17, 2012
John Wacha
Individual 		Corporate Director
Chair		 Jan 1, 2011
Brandon T Brevig
Individual 		W-2 Managing Employee
Cfo		 Feb 9, 2022
Donald J Recker
Individual 		Corporate Director Feb 23, 2015

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Regional Health Services of Howard County
Cresco, IA · CCN 16Z328		 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1974
Lime Springs Medical Clinic
Lime Springs, IA · CCN 163494		 Rural health clinic Operational/Managerial Control Nov 1, 2002
Cresco Medical Clinic
Cresco, IA · CCN 163493		 Rural health clinic Operational/Managerial Control Nov 1, 2002
Leroy Medical Clinic
Le Roy, MN · CCN 248504		 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1976

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201020000986 IA Part a Provider - Rural Health Clinic 1153238977 Practice locations: Elma, IA

National Provider Directory

Tax ID family
Swanson Kim (12 organizations share this tax ID)

Locations

600 Busti Ave
Elma, IA 50628
Phone (641) 393-0058

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

600 Busti Ave
Elma, IA 50628-8090

Mailing address

235 8TH Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101

Other names

  • ELMA MEDICAL CLINIC Doing business as

Other providers in Elma, IA

All providers in Elma, IA · Rural Health Clinic/Center in Iowa

Sources for this page

Verify at the official NPI Registry.