NPIMap

Organization Active NPI

County of Crawford

Doing business as Crawford County Community Health

  • Community Based Hospice Care Agency
  • Denison, IA
National Provider Identifier
1306961818
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COUNTY OF CRAWFORD
Doing business as
Crawford County Community Health
Practice address
105 N Main St
Courthouse Annex
Denison, IA 51442-1349
Phone
(712) 263-3303
Fax
(712) 263-4033
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Kimberly Anne Fineran, RN BSN
Title
Administrator
Phone
(712) 263-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

105 N Main St
Courthouse Annex
Denison, IA 51442-1349

Mailing address

105 N Main St
Courthouse Annex
Denison, IA 51442-1349
Phone (712) 263-3303

Other identifiers 1

IdentifierTypeStateIssuer
0615633MedicaidIA

Other names 1

  • Crawford County Community Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111108000484 IA Part A Provider - Hospice 5496890923 Practice locations: Denison, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306961818. Details of each certification follow.

Hospice certification: CCN 161561

Legal name
COUNTY OF CRAWFORD
Doing business as
CRAWFORD COUNTY COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 21, 1999
Last certification
May 25, 2022
Ownership / control type
Combination Government and Nonprofit
Organization structure
GovernmentNon-profit
Enrollment address
115 N 14TH St
Denison, IA 51442-1452

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Crawford County Community HealthCCN 161561 · All quality measures
Ownership
Combination Government & Non-Profit
Certified
May 21, 1999
Medicare certification status
ActiveFrom the Provider of Services file

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
16D0648045Crawford County Community Health115 N 14TH St, Denison, IA 51442Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Crawford8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
County of Crawford Organization, Denison, IA Other Jul 1, 1999 100%
Kimberly Anne Fineran Individual W-2 Managing EmployeeAdministrator Dec 24, 2021 100%
Lynn Nulle Individual OtherFinance Manager Jul 24, 2017
Ashley Nicole Eggers Individual W-2 Managing Employee Jun 12, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Crawford County Home Health, Hospice & Public HealthDenison, IA, CCN 167066 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 1, 1974

Owned or controlled facilities with NPI records 1

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

  • County of Crawford

    dba Crawford County Community Health

    • Home Health Agency
    • Denison, IA
    • NPI 1083739650

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1306961818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "COURTHOUSE ANNEX",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421349",
            "telephone_number": "712-263-3303",
            "fax_number": "712-263-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "COURTHOUSE ANNEX",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421349",
            "telephone_number": "712-263-3303",
            "fax_number": "712-263-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FINERAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-263-3303",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615633",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.