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Hermann Area Hospital District

Organization Active NPI Rural Health Clinic/Center · Hermann, MO

NPI 1295800761 · NPPES record last updated May 1, 2025

Key facts

NPI
1295800761
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
HERMANN AREA HOSPITAL DISTRICT
Practice address
123 Bavarian Hills PLZ
Hermann, MO 65041-1613
Phone
(573) 486-2118
Fax
(573) 486-3533
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

Name
William Hellebusch
Title
Administrator
Phone
(573) 486-2191

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 8

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

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

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0445884Southwest Medical Associates
123 Bavarian Hills PLZ, Hermann, MO 65041		Certificate of waiverSep 14, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Rural health clinic certification: CCN 268590

Legal name
HERMANN AREA HOSPITAL DISTRICT
Doing business as
SOUTHWEST MEDICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2004
Last certification
Oct 18, 2021
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
123 Bavarian Hills PLZ
Hermann, MO 65041-1613
Related CCNs
261314

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Melissa M Lensing
Individual 		Corporate Director
Board of Directors		 Dec 19, 2022
William S Hellebusch
Individual 		Contracted Managing Employee
Ceo		 Jun 1, 2023 100%
Corporate Director
Ceo		 Jun 1, 2023 100%
Steven M Strubberg
Individual 		Corporate Director
Board of Directors		 Mar 26, 2018
William Trigg Render
Individual 		Corporate Director
Board of Directors		 Aug 22, 2022
David Johnson
Individual 		Corporate Director
Board of Directors		 Jul 25, 2022
Karin P Wolking
Individual 		Corporate Director Feb 27, 2023
Ellen R Schaumberg
Individual 		Corporate Director
Director of Clinic Operations		 Aug 24, 1992 100%
W-2 Managing Employee
Administrator		 Aug 24, 1992 100%
Dale C Ridder
Individual 		Corporate Director
Board of Directors		 May 21, 2018

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hermann Area District Hospital
Hermann, MO · CCN 261314		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 14, 1967
Jan 1, 1966
Hermann Area District Hospital
Hermann, MO · CCN 26Z314		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 14, 1967
Jan 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041117001261 MO Part a Provider - Rural Health Clinic 5496669962 Practice locations: Hermann, MO

National Provider Directory

Tax ID family
Hermann Area Dist Hosp (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Yes

Addresses

Primary practice location

123 Bavarian Hills PLZ
Hermann, MO 65041-1613

Mailing address

PO Box 19
Hermann, MO 65041-0019
Phone (573) 486-1193

Other identifiers

IdentifierTypeStateIssuer
599047206MedicaidMO

Other names

  • Southwest Medical Associates Doing business as

Other providers in Hermann, MO

All providers in Hermann, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.