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Guthrie County Hospital

Organization Active NPI Critical Access Hospital · Guthrie Center, IA

NPI 1366414534 · NPPES record last updated Oct 25, 2023

Key facts

NPI
1366414534
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
390176H (IA)
Legal business name
GUTHRIE COUNTY HOSPITAL
Practice address
710 N 12TH St
Guthrie Center, IA 50115-1549
Phone
(641) 332-2201
Fax
(641) 332-2276
NPI assigned
Feb 2, 2006
Organization subpart
No

Authorized official

Name
Mr. Christopher R Stipe
Title
Ceo
Phone
(641) 332-2201

Owners & managing parties with NPI records 7

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 22

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

Practitioners 40

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

View all 40

Affiliated clinicians 59

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

View all 59

Medicare Care Compare: Hospital

Listed as
Guthrie County Hospital CCN 161314
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA

Hospital certification: CCN 161314

Legal name
GUTHRIE COUNTY HOSPITAL
Doing business as
GUTHRIE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2001
Last certification
May 24, 2023
Beds
25
Ownership / control type
Other
Organization structure
Government · Non-profit
Enrollment address
710 N 12TH St
Guthrie Center, IA 50115-1549
Main/Primary Hospital Location

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
Brandon G Johnson
Individual 		Corporate Officer
Cfo		 May 28, 2024
W-2 Managing Employee
Cfo		 May 28, 2024
Operational/Managerial Control
Cfo		 May 28, 2024
Austin J Boeckman
Individual 		W-2 Managing Employee
MD;		 Jan 1, 2025
Operational/Managerial Control
Medical Director		 Jan 1, 2025
Central Iowa Hospital Corporation
Organization · Des Moines, IA
Corporation, Non-profit 		Operational/Managerial Control Jan 1, 2014
Doris M Terwilliger
Individual 		Corporate Director Jan 3, 2023
Douglas I Kent
Individual 		Corporate Officer Jan 1, 2023
Corporate Director Jan 2, 2021
Sheyrl a Clark
Individual 		Corporate Director Jan 3, 2023
Dana L Tews
Individual 		Corporate Officer Jan 1, 2023
Corporate Director Jan 25, 2021
Michael L Underwood
Individual 		Corporate Officer Jan 1, 2018
Corporate Director Jan 3, 2017
Emily a Donovan
Individual 		Corporate Director Jan 2, 2025
Christopher R Stipe
Individual 		Contracted Managing Employee
Ceo		 Jul 31, 2023
Corporate Officer
Ceo		 Jul 31, 2023
Operational/Managerial Control
Ceo		 Jul 31, 2023
Cheryl L Marks
Individual 		Corporate Officer Jan 1, 2021
Corporate Director Jul 20, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030414000048 IA Part a Provider - Critical Access Hospital 6204745110 Receives reassigned benefits from 28 practitioners
Practice locations: Guthrie Center, IA
O20040224001006 IA Part B Supplier - Clinic/Group Practice 6204745110 Receives reassigned benefits from 33 practitioners
1 other NPI on this enrollment
Practice locations: Guthrie Center, IA; Stuart, IA

National Provider Directory

Locations

712 N 12TH St
Guthrie Center, IA 50115

103 SE 13th St
Panora, IA 50216
Phone (641) 755-4000

603 Main St
Pella, IA 50219

312 N Fremont St
Stuart, IA 50250
Phone (515) 523-2187

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 390176H IA Yes

Addresses

Primary practice location

710 N 12TH St
Guthrie Center, IA 50115-1549

Mailing address

710 N 12TH St
Guthrie Center, IA 50115-1549
Phone (641) 332-2201

Other identifiers

IdentifierTypeStateIssuer
0600189MedicaidIA
A50115OtherIAJOHN DEERE
60018OtherIAWELLMARK

Other names

  • GUTHRIE COUNTY HOSPITAL Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lavonneh@gcho.securechart.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2023.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1366414534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-2201",
            "fax_number": "641-332-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-2201",
            "fax_number": "641-332-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "STIPE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-332-2201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "390176H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A50115",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "60018",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lavonneh@gcho.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Guthrie County Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N 12th St",
            "city": "Guthrie Center",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501151544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GUTHRIE COUNTY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guthrie Center, IA

All providers in Guthrie Center, IA · Critical Access Hospital in Iowa

Sources for this page

Verify at the official NPI Registry.