NPIMap

Organization Active NPI

Mitchell County Memorial Hospital

  • Family Medicine Physician
  • Osage, IA
National Provider Identifier
1154487544
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MITCHELL COUNTY MEMORIAL HOSPITAL
Practice address
620 N 8TH St
Osage, IA 50461-1456
Phone
(641) 732-6000
Fax
(641) 732-6025
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Ms. Michele Russell
Title
Ceo
Phone
(641) 732-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

620 N 8TH St
Osage, IA 50461-1456

Mailing address

620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100

Other identifiers 1

IdentifierTypeStateIssuer
0152256MedicaidIA

Other names 1

  • Mitchell County Regional Health Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MI.MHN.HIM@direct.2.mycarefile.org Direct
Direct Messaging Address MI.MHN.HIM@direct.2.mycarefile.org Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127000973 IA Part B Supplier - Clinic/Group Practice 5890603070 Receives reassigned benefits from 22 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Ansgar, IA; Riceville, IA; Osage, IA
O20100930052686 IA DME Supplier - Physician - OptometristDME Supplier - Physician - Family Practice 5890603070 Practice locations: Osage, IA

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Mitchell Co Reg HLTH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Riceville ClinicRiceville, IA, CCN 163497 Rural health clinic Operational/Managerial Control Sep 1, 1994
Mitchell County Regional Health Center-Osage ClinicOsage, IA, CCN 163454 Rural health clinic Operational/Managerial Control Sep 1, 1994
St Ansgar ClinicSaint Ansgar, IA, CCN 163445 Rural health clinic Operational/Managerial Control Sep 1, 1994

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1154487544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6100",
            "fax_number": "641-732-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6000",
            "fax_number": "641-732-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-732-6002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152256",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MI.MHN.HIM@direct.2.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "Mitchell County Regional Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "616 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MI.MHN.HIM@direct.2.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "Mitchell County Regional Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mitchell County Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitchell County Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osage, IA

Sources for this page

Verify at the official NPI Registry.