NPIMap

Organization Active NPI

Regional Health Services of Howard County

  • Rural Health Clinic/Center
  • Lime Springs, IA
National Provider Identifier
1295818524
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
450057H Issued in IA
Legal business name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Practice address
101 W Main Street
Lime Springs, IA 52155
Phone
(563) 566-2243
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Brandon Brevig
Title
Cfo
Phone
(563) 547-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 450057H IA Primary

Addresses

Primary practice location

101 W Main Street
Lime Springs, IA 52155

Mailing address

101 W Main Street
Lime Springs, IA 52155
Phone (563) 566-2243

Other identifiers 2

IdentifierTypeStateIssuer
0635029MedicaidIA
48235OtherIABLUE CROSS/RURAL HEALTH

Other names 1

  • Lime Springs Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020911000010 IA Part A Provider - Rural Health Clinic 1153238977 Practice locations: Lime Springs, IA

Rural health clinic certification: CCN 163494

Legal name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Doing business as
LIME SPRINGS MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2002
Last certification
Nov 16, 2022
Ownership / control type
1B
Organization structure
OtherNon-profit
Enrollment address
101 W Main St
Lime Springs, IA 52155-4400
Related CCNs
161328

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

Other NPIs with the same Medicare PAC ID 9

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
16D0670541Lime Springs Medical Clinic101 West Main Street, Lime Springs, IA 52155Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Swanson Kim12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

101 W Main St
Lime Springs, IA 52155
Phone (319) 566-2243

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Darlene a Vsetecka Individual Corporate DirectorBoard of Trustee Jul 19, 2022
Regional Health Services of Howard County Organization, Cresco, IA Medical provider/supplier, Non-profit Operational/Managerial Control Nov 1, 2002
Jeremy C Johnston Individual Corporate DirectorBoard Member Sep 22, 2017
Helen J Kapler Individual Corporate DirectorBoard Member Sep 4, 2012
Charles L Malek Individual Corporate DirectorBoard of Trustee Jul 19, 2022
Howard County Organization, Cresco, IA 5% Or Greater Direct Ownership Interest Nov 1, 2002 100%
Mike W Mahr Individual Corporate DirectorBaord Member Jan 2, 2013
Robin M Schluter Individual Contracted Managing EmployeeCeo Dec 17, 2012
Corporate OfficerCeo Dec 17, 2012
John Wacha Individual Corporate DirectorChair Jan 1, 2011
Brandon T Brevig Individual W-2 Managing EmployeeCfo Feb 9, 2022
Donald J Recker Individual Corporate DirectorBoard Member Feb 23, 2015

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Regional Health Services of Howard CountyCresco, IA, CCN 16Z328 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1974
Cresco Medical ClinicCresco, IA, CCN 163493 Rural health clinic Operational/Managerial Control Nov 1, 2002
Leroy Medical ClinicLe Roy, MN, CCN 248504 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1976

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1295818524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN STREET",
            "city": "LIME SPRINGS",
            "state": "IA",
            "postal_code": "52155",
            "telephone_number": "563-566-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN STREET",
            "city": "LIME SPRINGS",
            "state": "IA",
            "postal_code": "52155",
            "telephone_number": "563-566-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BREVIG",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "563-547-6677"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IA",
            "license": "450057H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635029",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/RURAL HEALTH",
            "identifier": "48235",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lime Springs Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lime Springs Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lime Springs, IA

Sources for this page

Verify at the official NPI Registry.