St Luke'S Jones Regional Medical Center
Organization Active NPI Rural Health Clinic/Center · Vinton, IA
NPI 1306346176 · NPPES record last updated Feb 18, 2018
Key facts
- NPI
- 1306346176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ST LUKE'S JONES REGIONAL MEDICAL CENTER
- Practice address
- 1803 C Ave
Vinton, IA 52349-1691 - Phone
- (319) 472-2304
- Fax
- (319) 472-4579
- NPI assigned
- Feb 18, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ST LUKE'S JONES REGIONAL MEDICAL CENTER
Authorized official
- Name
- Mr. Eric Briesemeister
- Title
- Ceo
- Phone
- (319) 462-6131
Owners & managing parties with NPI records 2
-
Angela M Greif, MD
-
Brian A Lindo, MD
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Facilities with the same owner 75
Practitioners 28
-
E Keith Allen, PAC
-
Emilly Mikal Brodeur, ARNP
-
Luke C Brunner, MD
-
Amber Nicole Green, ARNP
-
John Hart, M.D.
-
Richard M Hodge, MD
-
Brady W Hunt, PA
-
Gregory Michael Janda, M.D.
-
Kirk W Kilburg, MD
-
Katlin Klein, DNP, FNP-BC, ARNP
-
Linda A Oberbroeckling, ARNP
-
Peter Donnan Pardubsky, M.D.
-
Nicole Ann Payne, NP
-
Katelyn Price, DNP-FNP-BC
-
Alissa A Schepanski, PAC
-
Kayla Marie Shelton, DNP, ARNP, FNP-C
-
Melinda Silver, ARNP
-
Katelyn Swartz, PA-C
-
Jason C Todd, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0386734 | Unitypoint Health | Provider-performed microscopy | Jan 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Rural health clinic certification: CCN 168609
- Legal name
- ST LUKES JONES REGIONAL MEDICAL CENTER
- Doing business as
- UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-VINTON
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 16, 2014
- Last certification
- Apr 28, 2026
- Ownership / control type
- 2B
- Most recent change of ownership
- Jun 4, 2018 (1 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1803 C Ave
Vinton, IA 52349-1691 - Related CCNs
- 161306
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Casey S Greene |
Corporate Director |
Nov 1, 2023 | |
| Philip Lee Hanna |
Corporate Director |
Feb 7, 2022 | |
| Aimee Hospodarsky |
Corporate Director | Feb 6, 2023 | |
| Shaun Lambertsen |
Corporate Director | Jan 1, 2025 | |
| Katherine Read |
Contracted Managing Employee |
Jun 1, 2024 | |
| Operational/Managerial Control |
Jun 1, 2024 | ||
| Brian a Lindo |
Contracted Managing Employee |
Jun 24, 2020 | |
| Operational/Managerial Control |
Jun 24, 2020 | ||
| Timothy Blake Eldridge |
W-2 Managing Employee |
Jan 1, 2025 | |
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Rachel a Vonbehren |
W-2 Managing Employee |
Jun 10, 2000 | |
| Operational/Managerial Control |
Jun 10, 2000 | ||
| Eric G Briesemeister |
Contracted Managing Employee |
Oct 5, 2009 | |
| Corporate Officer |
Oct 5, 2009 | ||
| Corporate Director |
Oct 5, 2009 | ||
| Operational/Managerial Control |
Oct 5, 2009 | ||
| Iowa Health System |
Operational/Managerial Control | Jan 1, 1995 | |
| Lucas N Hicks |
Corporate Director |
Nov 1, 2023 | |
| St Luke'S Healthcare |
Operational/Managerial Control | Oct 22, 1998 | |
| Angela M Greif |
Contracted Managing Employee |
Nov 24, 2020 | |
| Operational/Managerial Control |
Nov 24, 2020 | ||
| Janine Sulzner |
Corporate Director | Feb 6, 2023 | |
| David Kehoe |
Corporate Officer | Feb 6, 2023 | |
| Corporate Director | Jun 2, 2020 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Jones Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (5%) Operational/Managerial Control |
Oct 1, 2007 Oct 3, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180430001901 | IA | Part a Provider - Rural Health Clinic | 4688572811 | Practice locations: Vinton, IA |
National Provider Directory
- Tax ID family
- St Lukes Jones Reg Med CNTR
- Part of
- St Lukes Jones Reg Med CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
1803 C Ave
Vinton, IA 52349-1691
Mailing address
1795 Highway 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131
Other names
- UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-VINTON
Other providers in Vinton, IA
- Sara E Stuefen. DDS. PC
- Mary Ann Patrese Schmadeke
- Stacy Schulte
- Kimberly Lynn Schutterle
- Bonnie Elizabeth Seely
- Pat Stammeyer
- Sara Elizabeth Stuefen
- Jory Lee Sturdevant
- Therapeutic Innovations, PLLC
- Megan Thompson
All providers in Vinton, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2018. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.