NPIMap

Organization Active NPI

Manning Regional Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Manning, IA
National Provider Identifier
1245387844
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
140058H Issued in IA
Legal business name
MANNING REGIONAL HEALTHCARE CENTER
Practice address
1550 6TH St
Manning, IA 51455-1004
Phone
(712) 655-2072
Fax
(712) 655-3330
NPI assigned
Jan 4, 2007
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
MANNING REGIONAL HEALTHCARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
John O'Brien
Title
Ceo
Phone
(712) 655-2072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 140058H IA Primary
Critical Access Hospital 282NC0060X 140058H IA

Addresses

Primary practice location

1550 6TH St
Manning, IA 51455-1004

Mailing address

1550 6TH St
Manning, IA 51455-1004
Phone (712) 655-2072

Other identifiers 2

IdentifierTypeStateIssuer
KZ10MVOtherIAMEDICARE FISS LOG ON
0655035MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070129000604 IA Part A Provider - Critical Access Hospital 7618960840 Practice locations: Manning, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245387844. Details of each certification follow.

Hospital certification: CCN 16Z332

Legal name
MANNING REGIONAL HEALTHCARE CENTER
Doing business as
MANNING REGIONAL HEALTHCARE CENTER
Organization structure
CorporationNon-profit
Enrollment address
1550 6TH St
Manning, IA 51455-1004
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Manning Regional Healthcare4 organizations share this tax ID, including this one
Part of
Manning Regional Healthcare

Other organizations with this tax ID 3

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

Locations

800 E 1st St
Ste E220
Ankeny, IA 50021
Phone (515) 643-7777

5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jacob Ranniger Individual Corporate Director Mar 1, 2018
Shannon Black Individual Corporate OfficerCeo Feb 19, 2024
Operational/Managerial ControlCeo Feb 19, 2024
Kristen Halbur Individual Corporate Director Aug 1, 2024
Bret Richards Individual Corporate Director May 25, 2011
Jean Voege Individual Corporate Director Jan 22, 2014
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit Operational/Managerial Control Oct 1, 2012 100%
Virginia M Rasmussen Individual Corporate Director Nov 3, 2009
Larry a Hagedorn Individual Corporate Director Nov 3, 2009
Dave Muhlbauer Individual Corporate Director Jun 24, 2021
Jan Lorenzen Individual W-2 Managing Employee Apr 15, 2016
Leeann Christensen Individual W-2 Managing Employee Sep 7, 2021
Amy J McLaughlin Individual Contracted Managing Employee Jun 8, 2015
Corporate OfficerCfo Jun 8, 2015

Facilities with the same owner 98

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

View all 98

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1245387844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 6TH ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551004",
            "telephone_number": "712-655-2072",
            "fax_number": "712-655-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 6TH ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551004",
            "telephone_number": "712-655-2072",
            "fax_number": "712-655-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING REGIONAL HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANNING REGIONAL HEALTHCARE CENTER",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-655-2072"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "140058H",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "140058H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FISS LOG ON",
            "identifier": "KZ10MV",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655035",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, IA

Sources for this page

Verify at the official NPI Registry.