NPIMap

Organization Active NPI

St Luke's Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
National Provider Identifier
1164514741
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
530110H Issued in IA
Legal business name
ST LUKE'S JONES REGIONAL MEDICAL CENTER
Practice address
1795 Highway 64 E
Anamosa, IA 52205-2112
Phone
(319) 462-6131
Fax
(319) 481-6332
NPI assigned
Sep 29, 2006
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Mr. Eric Briesemeister
Title
Ceo
Phone
(319) 462-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 530110H IA Primary

Addresses

Primary practice location

1795 Highway 64 E
Anamosa, IA 52205-2112

Mailing address

1795 Highway 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131

Other identifiers 4

IdentifierTypeStateIssuer
421787967OtherIACHAMPUS
60103OtherIABLUE CROSS
0600171MedicaidIA
A5220501OtherIAJOHN DEERE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000485 IA Part A Provider - Critical Access Hospital 4688572811 Receives reassigned benefits from 55 practitioners
Practice locations: Anamosa, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164514741. Details of each certification follow.

Hospital certification: CCN 161306

Legal name
ST LUKES JONES REGIONAL MEDICAL CENTER
Doing business as
JONES REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Jul 27, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1795 Highway 64 E
Anamosa, IA 52205-2112
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Jones Regional Medical CenterCCN 161306 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Jones Regional Emergenc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Casey S Greene Individual Corporate Officer Sep 1, 2024
Corporate Director Sep 1, 2024
Philip Lee Hanna Individual Corporate DirectorDirector Feb 7, 2022
Aimee Hospodarsky Individual Corporate Director Jan 1, 2023
Shaun Lambertsen Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2025
Rachel a Vonbehren Individual W-2 Managing EmployeeDirector of Support Services Jun 10, 2000
Operational/Managerial ControlDirector of Support Services Jun 10, 2000
Eric G Briesemeister Individual Contracted Managing EmployeeCeo Oct 5, 2009
Corporate OfficerCeo Oct 5, 2009
Corporate DirectorCeo Oct 5, 2009
Operational/Managerial ControlCeo Oct 5, 2009
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit Operational/Managerial Control Jan 1, 1995
Lucas N Hicks Individual Corporate DirectorMarket Vice President - Finance Nov 1, 2023
St Luke's Healthcare Organization, Cedar Rapids, IA Corporation, Non-profit Operational/Managerial Control Oct 22, 1998
Angela M Greif Individual Contracted Managing EmployeeChief Medical Officer Nov 24, 2020
Operational/Managerial ControlChief Medical Officer Nov 24, 2020
David Kehoe Individual Corporate Director Jun 2, 2020

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Jones Regional Medical CenterAnamosa, IA, CCN 16Z306 Hospital 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control		 Oct 1, 2007
Oct 3, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 75

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

View all 75

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

Affiliated clinicians 218

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

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1164514741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "BRIESEMEISTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-462-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "530110H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "421787967",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60103",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600171",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A5220501",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anamosa, IA

Sources for this page

Verify at the official NPI Registry.