NPIMap

Organization Active NPI

Veterans Memorial Hospital City of Waukon Ia

  • Critical Access Hospital
  • Waukon, IA
National Provider Identifier
1164599643
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
030142H Issued in IA
Legal business name
VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA
Practice address
40 1St St SE
Waukon, IA 52172-2022
Phone
(568) 568-3411
Fax
(563) 568-5699
NPI assigned
Nov 29, 2006
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jayne McCormick
Title
Co-Ceo
Phone
(563) 568-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 030142H IA Primary

Addresses

Primary practice location

40 1St St SE
Waukon, IA 52172-2022

Mailing address

40 1St St SE
Waukon, IA 52172-2022
Phone (568) 568-3411

Other identifiers 2

IdentifierTypeStateIssuer
60023OtherIABLUE CROSS
0600239MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000478 IA Part A Provider - Critical Access Hospital 1355230293 Receives reassigned benefits from 85 practitioners
Practice locations: Waukon, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164599643. Details of each certification follow.

Hospital certification: CCN 161318

Legal name
VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA
Doing business as
VETERANS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 28, 2001
Last certification
Oct 23, 2024
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
40 1St St SE
Waukon, IA 52172-2022
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Veterans Memorial HospitalCCN 161318 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Veterans Memorial Waukon Ia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in 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
Dennis Koenig Individual Corporate DirectorTrustee Jul 15, 2023
Veterans Memorial Hospital City of Waukon Ia Organization, Waukon, IA Non-profit Other Nov 14, 2022 100%
Ronald Osterholm Individual Corporate OfficerBoard of Trustee Jan 1, 2025
John Ellingson Individual Corporate OfficerBoard of Trustee Jan 1, 2025
Larry Schellhammer Individual Corporate OfficerBoard of Trustee Jan 1, 2025
Dennis Lyons Individual Corporate DirectorChairman of Board of Trustees Nov 20, 2022
Dawn Clark Individual Corporate OfficerBoard of Trustee Jan 1, 2025
Patty Nordheim Individual Corporate DirectorTrustee Nov 20, 2022
Michael F Coyle Individual W-2 Managing EmployeeCeo & Authorized Official Apr 1, 2023
Operational/Managerial ControlCeo Sep 3, 2020

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 4

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

FacilityTypeRoleSince
Veterans Memorial HospitalWaukon, IA, CCN 16Z318 Hospital Other (100%) Nov 14, 2022
VMH Community & Home CareWaukon, IA, CCN 167119 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1995
VMH Medical Clinic WaukonWaukon, IA, CCN 168655 Rural health clinic Other (100%) Nov 14, 2022
VMH Medical Clinic PostvillePostville, IA, CCN 168673 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 86

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 86

Affiliated clinicians 121

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

View all 121

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1164599643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 1ST ST SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "568-568-3411",
            "fax_number": "563-568-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 1ST ST SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "568-568-3411",
            "fax_number": "563-568-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "563-568-3411"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "030142H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60023",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600239",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.