Clarinda Regional Health Center
Organization Active NPI Critical Access Hospital · Clarinda, IA
NPI 1366486946 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1366486946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- CLARINDA REGIONAL HEALTH CENTER
- Practice address
- 220 Essie Davison Dr
Clarinda, IA 51632-2915 - Phone
- (712) 542-2176
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Elaine Otte
- Title
- Coo
- Phone
- (712) 542-2176
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Related certifications (CCN) 2
Facilities with the same owner 2
Practitioners 81
-
Thomas Marvin Atteberry, M.D.
-
Katie Burns, ARNP
-
Trista Louise Grossnickle, PMHNP
-
Kirsten Noel Hamilton, ARNP
-
Brittney Lynne Hill, FNP-C
-
Paige Michelle Jones, APRN
-
Gregory Lynn Keller, D.O.
-
Michael J Mahoney, M.D.
-
Ryan Mahoney, ARNP
-
Renee Nauman, ARNP
-
Fildrin Ndimbo, MD
-
Brian Kenneth Rarick, DPM
-
Benn Rayment, ARNP
-
Bryon Jon Schaeffer, M.D.
-
Kimberly Schoonover, ARNP
-
William John Shelton, M.D.
-
Nathan Charles Shumway, D.P.M.
-
Christina Marie Solt, DNP, FNP-C
-
Dale Eugene Stogdill Jr., ARNP-C
-
Amy E Wilmes, ARNP
-
Mandy Lynn Woods, ARNP
Affiliated clinicians 132
-
Mohamed Abdi, MD
-
Thomas Marvin Atteberry, M.D.
-
Heather Lee Babe, M.D.
-
Amy Bingaman, MD
-
Katie Burns, ARNP
-
William Butz, M.D.
-
Kaitlin Sarah Card, ARNP
-
Michael Chen, DO
-
Kala Clark, PMHNP
-
Paislee R Dalton, NP
-
Megan Lee Decker, FNP-BC
-
Junaid Ebrahim, MD
-
Melissa Dawn Friedrich, CRNA
-
Stephanie R Gray, ARNP
-
Trista Louise Grossnickle, PMHNP
-
Kirsten Noel Hamilton, ARNP
-
Craig L Hansen, M.D.
-
Warren C Hayes, M.D.
Medicare Care Compare: Hospital
- Listed as
- Clarinda Regional Health Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Hospital certification: CCN 161352
- Legal name
- CLARINDA REGIONAL HEALTH CENTER
- Doing business as
- CLARINDA REGIONAL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Sep 1, 2003
- Last certification
- Apr 13, 2017
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Government · Non-profit
- Enrollment address
- 220 Essie Davison Dr
Clarinda, IA 51632-2915
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Bryan L Whipp |
Corporate Director |
Jan 22, 2018 | |
| Dale D Fulk |
Corporate Director |
Jan 1, 2018 | |
| City of Clarinda |
5% Or Greater Direct Ownership Interest | Nov 14, 2007 | 100% |
| Robert J Marsh |
Corporate Director |
Jan 1, 2018 | |
| Tyler Hill |
Corporate Officer |
Dec 5, 2018 | 100% |
| W-2 Managing Employee |
Dec 5, 2018 | 100% | |
| Katharine Boysen |
Corporate Director |
Jan 1, 2018 | |
| Charles W. Nordyke |
Corporate Officer |
Jun 29, 2018 | 100% |
| W-2 Managing Employee |
Feb 1, 2021 | 100% | |
| Jeffrey Clark |
Corporate Director |
Dec 17, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031205000207 | IA | Part B Supplier - Clinic/Group Practice | 4587573993 |
Receives reassigned benefits from 149 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Atlantic, IA; Villisca, IA; Sidney, IA; Red Oak, IA; Hamburg, IA; Clarinda, IA; Bedford, IA |
| O20061104000118 | IA | Part a Provider - Critical Access Hospital | 4587573993 |
Receives reassigned benefits from 70 practitioners Practice locations: Bedford, IA; Clarinda, IA |
National Provider Directory
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
220 Essie Davison Dr
Clarinda, IA 51632-2915
Mailing address
PO Box 217
Clarinda, IA 51632-2625
Phone (712) 542-2176
Other providers in Clarinda, IA
- Clarinda C.S.D.
- Clarinda Family Dentistry PLLC
- Clarinda Medical Associates
- Clarinda Mental Health Institute
- Clarinda Regional Health Center
- Clarinda Regional Health Center
- Clarinda Regional Health Center
- Clarinda Regional Health Center
- Clarinda Regional Health Center
- Clarinda Regional Health Center
All providers in Clarinda, IA · Critical Access Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. 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.