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Organization Active NPI

St Anthony Regional Hospital and Nursing Home

  • Rural Health Clinic/Center
  • Denison, IA
National Provider Identifier
1316927445
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Practice address
1820 4TH Ave S
Denison, IA 51442-2139
Phone
(712) 263-6116
Fax
(712) 263-6115
NPI assigned
Jan 17, 2006
Organization subpart
Yes
Parent organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOMEAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Eric Salmonson
Title
Cfo
Phone
(712) 794-5424

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 10

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

Facilities with the same owner 3

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

Practitioners 52

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

View all 52

Medicare participation

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

Rural health clinic certification: CCN 163400

Medicare enrollment files
Legal name
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 19, 1994
Last certification
Sep 1, 2022
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
311 S Clark St
Carroll, IA 51401-3038
Related CCNs
160005

All disclosed owners & managing parties 16

Medicare enrollment files

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

NameRoleSinceShare
Matthew Greteman Individual Corporate DirectorTreasurer Jul 1, 2024
Jeff Koster Individual Corporate Director Jul 1, 2024
Deb Auen Individual Corporate DirectorVice Chair Jul 1, 2020
Carly M Quam Individual Corporate Director Jan 1, 2025
Michele Pettit Individual Corporate Director Jul 1, 2021
Karl Eischeid Individual Corporate Director Jul 1, 2020
Richard Hunsaker Individual Corporate Director Jul 1, 2025
Rose Elsbernd Individual Corporate DirectorSecretary Jul 1, 2020
St Anthony Regional Hospital and Nursing Home Organization, Carroll, IA 5% Or Greater Direct Ownership Interest Sep 28, 1904 100%
Jeff Scharfenkamp Individual Corporate DirectorChairman Jul 1, 2019
Eric Salmonson Individual Corporate Director May 24, 2022
John Strautman Individual Corporate Director Jul 1, 2025
Jennifer Wollesen Individual Corporate Director Jul 1, 2025
Becky Venner Individual W-2 Managing Employee Jan 1, 2005
Joanne Moeller Individual Corporate Director Jul 1, 2023
Allen K Anderson Individual Corporate Director Jun 20, 2022

All facility ownership & control disclosures 3

Medicare enrollment files

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

FacilityTypeRoleSince
BCG Data ServicesCarroll, IA, CCN 165796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025
Jul 1, 2025
St Anthony Regional Hospital & Nursing HomeCarroll, IA, CCN 167207 Home health agency Operational/Managerial Control Nov 1, 1997
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 161546 Hospice Operational/Managerial Control Nov 1, 1997

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050610000376 IA Part a Provider - Rural Health Clinic 4688586829 Practice locations: Carroll, IA

National Provider Directory

National Provider Directory
Tax ID family
St Anthony Reg Hsptl Nrnsg (11 organizations share this tax ID)
Part of
St Anthony Reg Hsptl Nrnsg

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 140090H IA
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

1820 4TH Ave S
Denison, IA 51442-2139

Mailing address

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
163400OtherMEDICARE OSCAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2023.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1316927445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-3581",
            "fax_number": "712-792-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 4TH AVE S",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422139",
            "telephone_number": "712-263-6116",
            "fax_number": "712-263-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SALMONSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-794-5424"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IA",
            "license": "140090H",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "163400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.