Regional Health Services of Howard County
Organization Active NPI Rural Health Clinic/Center · Le Roy, MN
NPI 1346038353 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1346038353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- REGIONAL HEALTH SERVICES OF HOWARD COUNTY
- Practice address
- 671 E Main St
Le Roy, MN 55951-6730 - Phone
- (507) 324-5305
- NPI assigned
- Apr 29, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Authorized official
- Name
- Brandon T Brevig
- Title
- Cfo
- Phone
- (563) 547-6677
Owners & managing parties with NPI records 9
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 9
Facilities with the same owner 5
Practitioners 27
-
Matthew E Homstad, LPCC
-
Jeremy Jay Waldo, CNP
-
Laura Zielinski, MSW, LICSW
-
Christopher Edelen Adams, M.D.
-
Mary Anderson, FNP-C
-
Shawn C Blake, CRNA
-
Samantha Jo Bohr, CRNA
-
Samuel D Brauer, PA
-
Natasha Jean Broom, CRNA
-
Danielle K Courtney, ARNP
-
Jessica Dutka, ARNP
-
Jessica Lynn Hart, ARNP
-
Paul J. Jensen, MD
-
Jon D Kammerer, MD
-
Keenan Paul Laraway, M.D.
-
Roxanne Lenz, ARNP
-
Jon David Maher, M.D.
-
Amanda Powers, ARNP
-
Nicole F Quandahl, ARNP
-
Chad Donald Rasmussen, APRN
-
Richard Elmer Rattay, M.D.
-
Stephanie Rae Riley, APRN,CNM
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2325712 | Leroy Medical Clinic | Certificate of waiver | Jun 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Rural health clinic certification: CCN 248504
- Legal name
- REGIONAL HEALTH SERVICES OF HOWARD COUNTY
- Doing business as
- LEROY MEDICAL CLINIC
- Organization structure
- Other · Non-profit
- Enrollment address
- 671 E Main St
Le Roy, MN 55951-6730
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Darlene a Vsetecka |
Corporate Officer |
Jun 28, 2022 | |
| Regional Health Services of Howard County |
Operational/Managerial Control | Sep 1, 1976 | 100% |
| Jeremy C Johnston |
Corporate Officer |
Jan 2, 2019 | |
| Helen J Kapler |
Corporate Officer |
Jan 2, 2021 | |
| Charles L Malek |
Corporate Director |
Jun 28, 2022 | |
| Howard County |
5% Or Greater Direct Ownership Interest | Jun 4, 2025 | 100% |
| Mike W Mahr |
Corporate Officer |
Jan 2, 2019 | |
| Robin M Schluter |
Corporate Officer |
Dec 17, 2012 | |
| W-2 Managing Employee |
Oct 31, 2023 | ||
| John Wacha |
Corporate Director |
Jan 3, 2011 | |
| Brandon T Brevig |
W-2 Managing Employee |
Feb 9, 2022 | |
| Donald J Recker |
Corporate Officer |
Feb 23, 2015 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Regional Health Services of Howard County |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 1974 |
| Lime Springs Medical Clinic |
Rural health clinic | Operational/Managerial Control | Nov 1, 2002 |
| Cresco Medical Clinic |
Rural health clinic | Operational/Managerial Control | Nov 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250717000171 | IA | Part a Provider - Rural Health Clinic | 1153238977 | Practice locations: Le Roy, MN |
National Provider Directory
- Part of
- Swanson Kim
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Leroy Medical Clinic
Other providers in Le Roy, MN
- Leroy Area Ambulance Service
- Leroy City Lines
- Leroy-Ostrander Public School
- Off-Grid LLC
- Robert Dean Plumb
- Kristie M Schmidt
- Wildwood Grove
All providers in Le Roy, MN · Rural Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. 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.