NPIMap

Organization Active NPI

Grinnell Regional Medical Center

  • Rural Health Clinic/Center
  • Grinnell, IA
National Provider Identifier
1396355343
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Practice address
202 4TH Ave
Ste 100, 200, 201 & 300
Grinnell, IA 50112-1898
Phone
(641) 236-2323
NPI assigned
Aug 5, 2020
Organization subpart
Yes
Parent organization
GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
David-Paul Cavazos
Title
Rural President
Phone
(641) 236-7511

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

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

Facilities with the same owner 65

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

View all 65

Practitioners 98

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

View all 98

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
16D1075570Unitypoint Health- Grinnell- Clinics202 4TH Avenue, Grinnell, IA 50112Certificate of waiverSep 30, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200928000700 IA Part a Provider - Rural Health Clinic 0446153662 Practice locations: Grinnell, IA

Rural health clinic certification: CCN 168647

Medicare enrollment files
Legal name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
UNITYPOINT HEALTH - GRINNELL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 7, 2020
Last certification
Dec 7, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 30, 1967 in IA
Enrollment address
202 4TH Ave
Ste 100, 200, 201, 202 & 300
Grinnell, IA 50112-1898
Related CCNs
160147

All disclosed owners & managing parties 18

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Paul Cavazos Individual Contracted Managing EmployeeRural President Jun 3, 2024
Corporate OfficerRural President Jan 1, 2025
Corporate DirectorRural President Jun 3, 2024
Operational/Managerial ControlRural President Jun 3, 2024
Heidi Joy Klingelhofer Individual Contracted Managing EmployeeMD; Feb 13, 2023
Operational/Managerial ControlMedical Director Feb 13, 2023
Gene S Gessner Individual W-2 Managing EmployeeMD; Jan 15, 2024
Operational/Managerial ControlMedical Director Jan 15, 2024
Sally J Lang Individual Corporate Director Jun 26, 2012
Darwin Copeman Individual Corporate Director Feb 1, 2019
Traci Smith Individual Corporate Director Jan 1, 2022
Vicky Suiter Individual W-2 Managing EmployeeAd;Director of Clinic Operations Jan 26, 2025
Operational/Managerial ControlDirector of Clinic Operations Jan 26, 2025
Amy Miller Individual Corporate Director Jan 1, 2021
Laura Juel Individual W-2 Managing EmployeeVP of Nursing and Clinical Services Jan 2, 2019
Operational/Managerial ControlVP of Nursing and Clinical Services Jan 2, 2019
Ross a Patrick Individual Corporate OfficerTreasurer May 12, 2025
W-2 Managing EmployeeFinance Site Lead May 12, 2025
Operational/Managerial ControlFinance Site Lead May 12, 2025
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2018
Rachael Kinnick Individual Corporate Officer Jan 1, 2022
Corporate Director Feb 1, 2019
Henry W Rietz Individual Corporate Officer Dec 21, 2022
Corporate Director Jan 22, 2020
Jonathan M Rozenfeld Individual Corporate Director Jan 8, 2024
Jacob D Boyer Individual Corporate Director Jan 22, 2020
Angela Claytor Individual W-2 Managing EmployeeExec Dir of Hospital Operations Apr 20, 2025
Operational/Managerial ControlExec Dir of Hospital Operations Apr 20, 2025
Central Iowa Health System Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Jan 1, 2018
Lisa M Bishop Individual Corporate Director Nov 30, 2023

National Provider Directory

National Provider Directory
Tax ID family
Lynnville Medical Clini (8 organizations share this tax ID)
Part of
Lynnville Medical Clini

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

202 4TH Ave
Ste 100, 200, 201 & 300
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2300

Other names 1

NPPES NPI Registry
  • UNITYPOINT HEALTH - GRINNELL Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2025.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1396355343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2300",
            "fax_number": "641-236-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 4TH AVE",
            "address_2": "STE 100, 200, 201 & 300",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "DAVID-PAUL",
        "authorized_official_title_or_position": "RURAL PRESIDENT",
        "authorized_official_telephone_number": "641-236-7511"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT HEALTH - GRINNELL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.