Mercy Medical Center New Hampton
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · New Hampton, IA
NPI 1285702274 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1285702274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 190022H (IA)
- Legal business name
- MERCY MEDICAL CENTER NEW HAMPTON
- Practice address
- 308 N Maple Ave
Ste SB
New Hampton, IA 50659-1142 - Phone
- (641) 394-4121
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Aaron Flugum
- Title
- Ceo
- Phone
- (641) 394-1634
Owners & managing parties with NPI records 11
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 4
Member of 2
Related certifications (CCN) 1
Facilities with the same owner 215
Practitioners 19
-
Byron T Beasley, MD
-
Adam Christopher Brooks, M.D.
-
Radu Hagau, MD
-
Lacey McGrath, ARNP
-
Mihail Radulescu, MD
-
Matthew T Sowle, PA-C
-
Thoo H Tan, DO
-
Ashley Marie Wells, ARNP
-
Nicole Wurzer, ARNP
-
Melissa Renee Berg, FNP
-
Angelia Relph, C.R.N.A
-
Ira A. Segal, M.D.
Affiliated clinicians 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 16Z331
- Legal name
- MERCY MEDICAL CENTER NEW HAMPTON
- Doing business as
- MERCYONE NEW HAMPTON MEDICAL CENTER SWING BED
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 18, 1993 in IA
- Enrollment address
- 308 N Maple Ave
New Hampton, IA 50659-1142
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Ray Anderson |
Corporate Director |
Jan 1, 2024 | |
| Heather Campbell |
Corporate Officer |
Jan 1, 2020 | |
| Daniel Roth |
Corporate Director |
Jun 1, 2022 | |
| Mercy Health Network Inc |
Operational/Managerial Control | Mar 1, 2016 | 100% |
| Aaron Flugum |
Corporate Officer |
Jun 1, 2015 | |
| Operational/Managerial Control |
May 18, 2017 | ||
| Robert F Casalou |
Corporate Officer |
Jan 1, 2026 | |
| Corporate Director |
Jan 1, 2026 | ||
| Jennifer Rapenske |
W-2 Managing Employee |
Jan 13, 2013 | |
| Sandra Sue Christensen |
Corporate Officer |
Jul 1, 2024 | |
| Mercy Health Services-Iowa Corp |
5% Or Greater Direct Ownership Interest | Mar 23, 2018 | 100% |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | Aug 19, 1998 | 100% |
| Daniel Isacksen |
Corporate Director |
Jun 1, 2022 | |
| Stuart Kilpinen |
Operational/Managerial Control |
Jun 10, 2023 | |
| Terri Donovan |
Corporate Officer |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070718000694 | IA | Part a Provider - Critical Access Hospital | 9032006325 | Practice locations: New Hampton, IA |
National Provider Directory
- Tax ID family
- Mercy Medical Center-New Hampton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 190022H | IA | Yes |
Addresses
Primary practice location
308 N Maple Ave
Ste SB
New Hampton, IA 50659-1142
Mailing address
600 1St St NW Ste 101
Mason City, IA 50401-2932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66027 | Other | IA | BLUE CROSS SWINGBED |
| 0655175 | Medicaid | IA |
Other names
- MERCY MEDICAL CENTER NEW HAMPTON
- MercyOne New Hampton Medical Center-Swing Bed
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@nhmhn.cernerdirect.com | Direct |
Other providers in New Hampton, IA
- Jack Litton Kline
- Natalie Jean Martinson
- Lacey McGrath
- April Ann McQuillen
- Mercy Medical Center - New Hampton
- Mercy Medical Center New Hampton
- Mercy Medical Center New Hampton
- Mercy Medical Center New Hampton
- Mercy Medical Center-New Hampton
- Minnie & Marge Transportation, LLC
All providers in New Hampton, IA · Medicare Defined Swing Bed Hospital Unit in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.