NPIMap

Organization Active NPI

Floyd Valley Healthcare

Doing business as Floyd Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Le Mars, IA
National Provider Identifier
1104988294
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
750004H Issued in IA
Legal business name
FLOYD VALLEY HEALTHCARE
Doing business as
Floyd Valley Hospital
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone
(712) 546-7871
Fax
(712) 546-3352
NPI assigned
Dec 14, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Floyd Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104988294. Details of each certification follow.

Hospital certification: CCN 16Z368

Legal name
FLOYD VALLEY HEALTHCARE
Organization structure
GovernmentNon-profit
Enrollment address
714 Lincoln St NE
Le Mars, IA 51031-3311
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).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Floyd Valley Neurology8 organizations share this tax ID, including this one

Other organizations with this 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.

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
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 ControlCfo 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 EmployeeCeo Dec 1, 2018 100%
Patrick J Rosacker Individual Corporate DirectorBoard Member Jan 1, 2024 20%
Kelli a Flack Individual Corporate DirectorBoard Member Jan 1, 2021 20%
Douglas D Carlsen Individual Corporate DirectorBoard Member Jan 1, 2024 20%
Danna Schuster Individual Corporate DirectorDirector Jan 1, 2016 20%
Craig R Bauerly Individual Corporate DirectorBoard Member Jun 1, 2002 20%

Owners & managing parties with NPI records 5

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

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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

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 5

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1104988294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-7871",
            "fax_number": "712-546-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-7871",
            "fax_number": "712-546-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD VALLEY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBACH",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-546-3338"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "750004H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.