NPIMap

Organization Active NPI

Dallas County Hospital

Doing business as DCH Family Medicine Dallas Center

  • Rural Health Clinic/Center
  • Dallas Center, IA
National Provider Identifier
1194412478
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DALLAS COUNTY HOSPITAL
Doing business as
DCH Family Medicine Dallas Center
Practice address
507 14TH St
Dallas Center, IA 50063-7738
Phone
(515) 992-3711
Fax
(515) 992-3803
NPI assigned
Apr 18, 2023
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DALLAS COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Kevin Leininger
Title
Cfo
Phone
(515) 465-3547

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Primary Care Clinic/Center 261QP2300X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

507 14TH St
Dallas Center, IA 50063-7738

Mailing address

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-3547

Other names 1

  • DCH FAMILY MEDICINE DALLAS CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230715000481 IA Part A Provider - Rural Health Clinic 9931094257 Practice locations: Dallas Center, IA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194412478. Details of each certification follow.

Rural health clinic certification: CCN 168666

Legal name
DALLAS COUNTY HOSPITAL
Doing business as
DCH FAMILY MEDICINE DALLAS CENTER
Organization structure
OtherNon-profit
Incorporated
Oct 18, 1985 in IA
Enrollment address
507 14TH St
Dallas Center, IA 50063-7738

Rural health clinic certification: CCN 163878

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DCH FAMILY MEDICINE DALLAS CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 30, 1995
Last certification
Jan 14, 2021
Ownership / control type
Non-profit – church related
Most recent change of ownership
Jan 2, 2015 (4 total)
Facility address
507 14TH Street
Dallas Center, IA 50063

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0382711Dallas County Hospital Family Med-Dallas Center507 14TH Street, Dallas Center, IA 50063ComplianceNov 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
David M Brennan DO5 organizations share this tax ID, including this one
Part of
David M Brennan DO

Other organizations with this tax ID 4

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

Locations

507 14th St
Dallas Center, IA 50063
Phone (515) 992-3711

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
William N Palmer Individual Contracted Managing EmployeeMedical Director Jul 1, 2023
Operational/Managerial ControlMedical Director Jul 1, 2023
Joseph E Shelly Individual Corporate Director Jun 23, 2022
Patrick L Steele Individual Corporate Director Aug 25, 2022
Angela M Mortoza Individual Contracted Managing EmployeeCeo Mar 1, 2016
Corporate OfficerCeo Jun 23, 2016
Operational/Managerial ControlCeo Mar 1, 2016
Deane Baldwin Individual W-2 Managing EmployeeClinic Manager Jun 26, 2023
Operational/Managerial ControlClinic Manager Jun 26, 2023
Mercy Health Network Inc Organization, Clive, IA Corporation, Management services company, Non-profit Operational/Managerial Control Nov 1, 2012
Kari Boyens Individual Corporate Director Feb 24, 2026
Mary Laborde Individual Corporate Officer Jan 27, 2022
Corporate Director Jan 23, 2020
Kevin Leininger Individual Corporate OfficerCfo Oct 5, 2023
Dirk Cavanaugh Individual Corporate Officer Jun 23, 2022
Corporate Director Jan 24, 2019
Jeff Jarding Individual Corporate OfficerCoo Jan 12, 2026
Dennis Cochran Individual Corporate Director Jan 27, 2022
Joelle Sue Miner Individual Corporate Officer Jan 27, 2022
Corporate Director Jan 1, 2007

Owners & managing parties with NPI records 1

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

Facilities with the same owner 98

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

View all 98

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer Dallas Center Medical AssociatesCCN 163878, IA, NPI 1467850727

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1194412478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3547",
            "fax_number": "515-465-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 14TH ST",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "500637738",
            "telephone_number": "515-992-3711",
            "fax_number": "515-992-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DALLAS COUNTY HOSPITAL",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "LEININGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-465-3547"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCH FAMILY MEDICINE DALLAS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCH FAMILY MEDICINE DALLAS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas Center, IA

Sources for this page

Verify at the official NPI Registry.