St Luke'S Jones Regional Medical Center

Organization Active NPI Critical Access Hospital · Anamosa, IA

NPI 1164514741 · NPPES record last updated Jan 16, 2018

Key facts

NPI
1164514741
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
530110H (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 8

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

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

Facilities with the same owner 75

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

View all 75

Practitioners 75

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

View all 75

Affiliated clinicians 218

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

View all 218

Medicare Care Compare: Hospital

Listed as
Jones Regional Medical Center CCN 161306
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

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
Corporation · Non-profit
Enrollment address
1795 Highway 64 E
Anamosa, IA 52205-2112
Other Hospital Practice Location

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 Director
Director
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 Employee
Director of Support Services
Jun 10, 2000
Operational/Managerial Control
Director of Support Services
Jun 10, 2000
Eric G Briesemeister
Individual
Contracted Managing Employee
Ceo
Oct 5, 2009
Corporate Officer
Ceo
Oct 5, 2009
Corporate Director
Ceo
Oct 5, 2009
Operational/Managerial Control
Ceo
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 Director
Market 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 Employee
Chief Medical Officer
Nov 24, 2020
Operational/Managerial Control
Chief Medical Officer
Nov 24, 2020
David Kehoe
Individual
Corporate Director Jun 2, 2020

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 Center
Anamosa, IA · CCN 16Z306
Hospital 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control
Oct 1, 2007
Oct 3, 2007

Medicare enrollment records

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

National Provider Directory

Tax ID family
St Lukes Jones Reg Med CNTR (9 organizations share this tax ID)

Specialties & licenses

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

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

IdentifierTypeStateIssuer
0600171MedicaidIA
421787967OtherIACHAMPUS
60103OtherIABLUE CROSS
A5220501OtherIAJOHN DEERE

Other providers in Anamosa, IA

All providers in Anamosa, IA · Critical Access Hospital in Iowa

Sources for this page

Verify at the official NPI Registry.