NPIMap

Organization Active NPI

Hamilton County Public Hospital

Doing business as VanDiest Medical Center

  • Critical Access Hospital
  • Webster City, IA
National Provider Identifier
1295702397
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
400120H Issued in IA
Legal business name
HAMILTON COUNTY PUBLIC HOSPITAL
Doing business as
VanDiest Medical Center
Practice address
2350 Hospital Drive
Webster City, IA 50595-6600
Phone
(515) 832-9400
Fax
(515) 832-9420
NPI assigned
Mar 7, 2006
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Mrs. Alice Heinrichs
Title
Cfo
Phone
(515) 832-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 400120H IA Primary

Addresses

Primary practice location

2350 Hospital Drive
Webster City, IA 50595-6600

Mailing address

PO Box 430
Webster City, IA 50595-0430
Phone (515) 832-9400

Other identifiers 7

IdentifierTypeStateIssuer
A5059501OtherIAJOHN DEERE
DU0534OtherIARAILROAD MEDICARE
0600767MedicaidIA
60076OtherIABLUE CROSS
027512OtherIAHEALTH ALLIANCE
160076OtherIACOVENTRY
H194OtherIAMIDLANDS CHOICE

Other names 1

  • VanDiest Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address himadmin@vdmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031216000775 IA Part B Supplier - Clinic/Group Practice 1254241565 Receives reassigned benefits from 78 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Webster City, IA; Stratford, IA; Jewell, IA; Fort Dodge, IA
O20061104000151 IA Part A Provider - Critical Access Hospital 1254241565 Receives reassigned benefits from 77 practitioners
1 other NPI on this enrollment
Practice locations: Webster City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295702397. Details of each certification follow.

Hospital certification: CCN 161361

Legal name
HAMILTON COUNTY PUBLIC HOSPITAL
Doing business as
VAN DIEST MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2004
Last certification
Sep 15, 2022
Beds
25
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Enrollment address
2350 Hospital Dr
Webster City, IA 50595-6600

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).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Van Diest Medical CenterCCN 161361 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Kyle Martin Heffernan Individual Operational/Managerial ControlBoard Member Jan 28, 2020
Amy McDonough Individual Corporate DirectorCno Jan 3, 2018
David Everson Individual Corporate DirectorBoard Member May 26, 2020
Darcy Swon Individual Corporate OfficerBoard Member Jul 28, 2015
Ashley N Allers Individual Corporate OfficerCfo Apr 1, 2022
Kirk McCollough Individual Corporate OfficerBoard Member Jan 20, 2015
Mercy Health Network Inc Organization, Clive, IA Non-profit Operational/Managerial Control Jul 1, 2010
Carroll D Ose Individual Corporate OfficerBoard Chair Jan 2, 2013
Lisa Ridge Individual Contracted Managing EmployeeCeo Oct 1, 2017
Corporate OfficerCeo Oct 1, 2017
Michelle Zahn Individual Corporate DirectorBoard Member Aug 23, 2022

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

Practitioners & affiliated clinicians

Practitioners 79

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 79

Affiliated clinicians 110

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

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1295702397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DRIVE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY PUBLIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "HEINRICHS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-832-7751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "400120H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A5059501",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU0534",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600767",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60076",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "027512",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "160076",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "H194",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "himadmin@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Medical Center Medical Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Drive",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VanDiest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VanDiest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.