NPIMap

Organization Active NPI

Regional Health Services of Howard County

Doing business as Leroy Medical Clinic

  • Rural Health Clinic/Center
  • Le Roy, MN
National Provider Identifier
1346038353
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Doing business as
Leroy Medical Clinic
Practice address
671 E Main St
Le Roy, MN 55951-6730
Phone
(507) 324-5305
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES OF HOWARD COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

671 E Main St
Le Roy, MN 55951-6730

Mailing address

235 8TH Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101

Other names 1

  • Leroy 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
O20250717000171 IA Part A Provider - Rural Health Clinic 1153238977 Practice locations: Le Roy, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346038353. Details of each certification follow.

Rural health clinic certification: CCN 248504

Legal name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Doing business as
LEROY MEDICAL CLINIC
Organization structure
OtherNon-profit
Enrollment address
671 E Main St
Le Roy, MN 55951-6730

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
24D2325712Leroy Medical Clinic671 E Main St, Le Roy, MN 55951Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory
Part of
Regional Health Service

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 OfficerBoard Member Jun 28, 2022
Regional Health Services of Howard County Organization, Cresco, IA Medical provider/supplier Operational/Managerial Control Sep 1, 1976 100%
Jeremy C Johnston Individual Corporate OfficerBoard Member Jan 2, 2019
Helen J Kapler Individual Corporate OfficerBoard Member Jan 2, 2021
Charles L Malek Individual Corporate DirectorBoard Member Jun 28, 2022
Howard County Organization, Cresco, IA 5% Or Greater Direct Ownership Interest Jun 4, 2025 100%
Mike W Mahr Individual Corporate OfficerBoard Member Jan 2, 2019
Robin M Schluter Individual Corporate OfficerCeo Dec 17, 2012
W-2 Managing EmployeeAd; Oct 31, 2023
John Wacha Individual Corporate DirectorBoard Member Jan 3, 2011
Brandon T Brevig Individual W-2 Managing EmployeeCfo Feb 9, 2022
Donald J Recker Individual Corporate OfficerBoard 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
Lime Springs Medical ClinicLime Springs, IA, CCN 163494 Rural health clinic Operational/Managerial Control Nov 1, 2002
Cresco Medical ClinicCresco, IA, CCN 163493 Rural health clinic Operational/Managerial Control Nov 1, 2002

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": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1346038353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361062",
            "telephone_number": "563-547-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E MAIN ST",
            "city": "LE ROY",
            "state": "MN",
            "postal_code": "559516730",
            "telephone_number": "507-324-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BREVIG",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "563-547-6677"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leroy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Roy, MN

Sources for this page

Verify at the official NPI Registry.