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Floyd Valley Healthcare

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Le Mars, IA

NPI 1104988294 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1104988294
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
750004H (IA)
Legal business name
FLOYD VALLEY HEALTHCARE
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone
(712) 546-7871
Fax
(712) 546-3352
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

Name
Daryl J Friedenbach
Title
Chief Financial Officer
Phone
(712) 546-3338

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Facilities with the same owner 2

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

Practitioners 35

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

View all 35

Affiliated clinicians 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA

Hospital certification: CCN 16Z368

Legal name
FLOYD VALLEY HEALTHCARE
Organization structure
Government · Non-profit
Enrollment address
714 Lincoln St NE
Le Mars, IA 51031-3311
Hospital Swing-Bed Unit

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
City of Lemars
Organization · Le Mars, IA 		5% Or Greater Direct Ownership Interest Dec 1, 1966 100%
Daryl J Friedenbach
Individual 		Corporate Officer May 31, 1991
W-2 Managing Employee May 31, 1991
Operational/Managerial Control
Cfo		 May 31, 1991 100%
Floyd Valley Healthcare
Organization · Le Mars, IA
Non-profit 		Operational/Managerial Control Dec 1, 1966 100%
Dustin Wright
Individual 		Contracted Managing Employee
Ceo		 Dec 1, 2018 100%
Patrick J Rosacker
Individual 		Corporate Director
Board Member		 Jan 1, 2024 20%
Kelli a Flack
Individual 		Corporate Director
Board Member		 Jan 1, 2021 20%
Douglas D Carlsen
Individual 		Corporate Director
Board Member		 Jan 1, 2024 20%
Danna Schuster
Individual 		Corporate Director
Director		 Jan 1, 2016 20%
Craig R Bauerly
Individual 		Corporate Director
Board Member		 Jun 1, 2002 20%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Floyd Valley Healthcare
Le Mars, IA · CCN 161368		 Hospital Operational/Managerial Control Nov 7, 2007
Floyd Valley Hospital Community Health Service
Le Mars, IA · CCN 167105		 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2025
Dec 10, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040129001169 IA Part B Supplier - Clinic/Group Practice 2769385475 Receives reassigned benefits from 51 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Le Mars, IA; Marcus, IA; Remsen, IA; Sioux Center, IA
O20070129000386 IA Part a Provider - Critical Access Hospital 2769385475 Receives reassigned benefits from 2 practitioners
Practice locations: Le Mars, IA

National Provider Directory

Tax ID family
Floyd Valley Neurology (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 750004H IA Yes

Addresses

Primary practice location

714 Lincoln St NE
Le Mars, IA 51031-3314

Mailing address

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-7871

Other names

  • Floyd Valley Hospital Doing business as

Other providers in Le Mars, IA

All providers in Le Mars, IA · Medicare Defined Swing Bed Hospital Unit in Iowa

Sources for this page

Verify at the official NPI Registry.