NPIMap

Organization Active NPI

Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
National Provider Identifier
1366414534
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
390176H Issued in IA
Legal business name
GUTHRIE COUNTY HOSPITAL
Doing business as
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
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • GUTHRIE COUNTY HOSPITAL Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366414534. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
710 N 12TH St
Guthrie Center, IA 50115-1549
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Guthrie County HospitalCCN 161314 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

712 N 12TH St
Guthrie Center, IA 50115

502 Main St
Guthrie Ctr, IA 50115
Phone (515) 747-8348

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

603 Main St
Pella, IA 50219

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
Brandon G Johnson Individual Corporate OfficerCfo May 28, 2024
W-2 Managing EmployeeCfo May 28, 2024
Operational/Managerial ControlCfo May 28, 2024
Austin J Boeckman Individual W-2 Managing EmployeeMD; Jan 1, 2025
Operational/Managerial ControlMedical 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 EmployeeCeo Jul 31, 2023
Corporate OfficerCeo Jul 31, 2023
Operational/Managerial ControlCeo Jul 31, 2023
Cheryl L Marks Individual Corporate Officer Jan 1, 2021
Corporate Director Jul 20, 2020

Owners & managing parties with NPI records 7

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

Affiliated clinicians 59

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

View all 59

NPI Registry JSON

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

{
    "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": [],
    "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

Sources for this page

Verify at the official NPI Registry.