NPIMap

Organization Active NPI

Reedsburg Area Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Reedsburg, WI
National Provider Identifier
1447251004
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
179 Issued in WI
Legal business name
REEDSBURG AREA MEDICAL CENTER INC
Practice address
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone
(608) 524-6487
Fax
(608) 524-6566
NPI assigned
Aug 4, 2005
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Robert J Van Meeteren
Title
President
Phone
(608) 524-6487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 179 WI Primary

Addresses

Primary practice location

2000 N Dewey Ave
Reedsburg, WI 53959-1049

Mailing address

2000 N Dewey Ave
Reedsburg, WI 53959-1049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000388 WI Part A Provider - Critical Access Hospital 9830008259 Practice locations: Reedsburg, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447251004. Details of each certification follow.

Hospital certification: CCN 52Z351

Legal name
REEDSBURG AREA MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Dec 22, 1967 in WI
Enrollment address
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Reedsburg Area Med Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Thomas W Wood Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Joel Groskreutz Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Christopher J Wenninger Individual Corporate OfficerBoard Member Oct 1, 2022 9%
Julie Adelman Individual Corporate OfficerBoard Member Oct 1, 2022 9%
Derek Horkan Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Raynelle Syftestad Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Don Lichte Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Kristi Brown Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Robert Bass Individual Corporate OfficerBoard Member Oct 1, 2017 9%
Barry Borchert Individual W-2 Managing EmployeeVice President Finance Feb 1, 2018 100%
Richard H Strutz Individual Corporate OfficerBoard Member Oct 1, 2022 9%
Rebecca R Peterson Individual Corporate OfficerBoard Member Oct 1, 2022 9%
Robert Vanmeeteren Individual Corporate DirectorPresident Jan 1, 2008
W-2 Managing EmployeePresident Jan 1, 2008 100%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1447251004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049",
            "telephone_number": "608-524-6487",
            "fax_number": "608-524-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDSBURG AREA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "VAN MEETEREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-524-6487"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WI",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.