Decatur County Hospital
Organization Active NPI Critical Access Hospital · Leon, IA
NPI 1144209255 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1144209255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 270089H (IA)
- Legal business name
- DECATUR COUNTY HOSPITAL
- Practice address
- 1405 NW Church St
Leon, IA 50144-1267 - Phone
- (641) 446-4871
- NPI assigned
- Jan 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Johnston
- Title
- Ceo
- Phone
- (641) 446-4871
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Facilities with the same owner 98
Practitioners 74
-
Leslie R. Fenimore, ARNP
-
Courtney Ann Hartberg, CRNA, RN
-
Imran A Ata, MD
-
Ernesto R Cruz, MD
-
Basil B Holoyda, M.D.
-
Maher Loutfi, M.D
-
Daniel Reinhardt, MD
-
Edwin V Wehling, D.O.
-
Amanda Dawn Wilford, FNP-BC
-
David J Zelinskas, DO, MPH
-
Connie Lynn Barker, NP-C
-
Nathan B. Allen, D.O.
-
Stephen Ambrose Barnes, D.O.
-
William K Barnhill, CRNA
-
Vilma Bramasco, ARNP
-
Tyson King Cobb, MD
-
Daniel Lee Dodge, DO
-
Christine H Drake, ARNP
-
Mark E Easter, D.O.
Affiliated clinicians 50
-
Nathan B. Allen, D.O.
-
Steven A. Aviles, MD
-
William K Barnhill, CRNA
-
Elizabeth Marie Brant, ARNP, FNP-C
-
Sara Burg, ARNP
-
Patrick C Chua, M.D.
-
Tyson King Cobb, MD
-
Daniel Lee Dodge, DO
-
Christine H Drake, ARNP
-
Jonathan Eller, DO
-
Leslie R. Fenimore, ARNP
-
Brian L Gallagher, M.D.
-
Terrilee Jackel, ARNP
-
Zeeshan Ali Jawa, MD
-
Mark Christopher Johnson, M.D.
-
Avina Kolareth, MD
-
Mary Mansheim, ARNP
-
Barbara Jo Masters, ARNP
-
Jordan Marie McCloney, NP-C
-
Randy J Metzger, DPM
-
Rebecca Lynn Moore, FNP-C
-
Trivian Nguyen, MD
Medicare Care Compare: Hospital
- Listed as
- Decatur County Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Hospital certification: CCN 161340
- Legal name
- DECATUR COUNTY HOSPITAL
- Doing business as
- DECATUR COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 1, 2002
- Last certification
- May 5, 2022
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1405 NW Church St
Leon, IA 50144-1266
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Denise Betty Elefson |
Corporate Director |
Jan 1, 2019 | |
| Teri J Foster |
Corporate Director |
Feb 27, 2019 | |
| Guy Clark |
Corporate Director |
Oct 22, 2007 | |
| Sheri a Frost |
Corporate Director |
Jan 1, 2017 | |
| Mercy Health Network Inc |
Operational/Managerial Control | Mar 26, 2001 | |
| Michael E Johnston |
Contracted Managing Employee |
Nov 24, 2018 | |
| Corporate Officer |
Nov 24, 2018 | ||
| Tara D Spidle |
Corporate Officer |
Feb 10, 2010 | |
| W-2 Managing Employee |
Feb 10, 2010 | ||
| Larry L Griffin |
Corporate Director |
Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000758 | IA | Part B Supplier - Clinic/Group Practice | 9739085754 |
Receives reassigned benefits from 72 practitioners 2 other NPIs on this enrollment Practice locations: Leon, IA |
| O20071024000076 | IA | Part a Provider - Critical Access Hospital | 9739085754 |
Receives reassigned benefits from 36 practitioners Practice locations: Leon, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 270089H | IA | Yes |
Addresses
Primary practice location
1405 NW Church St
Leon, IA 50144-1267
Mailing address
1405 NW Church St
Leon, IA 50144-1267
Phone (641) 446-4871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600551 | Medicaid | IA | |
| 60055 | Other | IA | BLUE CROSS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dch@dch.cernerdirect.com | Direct |
Other providers in Leon, IA
- Kacey Denise Courtney
- Dan Heffron PC
- Decatur County Community Services
- Decatur County Community Services
- Decatur County Hospital
- Decatur County Hospital
- Decatur County Hospital
- Decatur Medical Services, PC
- Rebecca Devine
- Adam Dosch
All providers in Leon, IA · Critical Access Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.