NPIMap

Organization Active NPI

Jennie Edmundson Memorial Hospital

Doing business as Methodist Jennie Edmundson

  • General Acute Care Hospital
  • Council Bluffs, IA
National Provider Identifier
1457448755
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
780039H Issued in IA
Legal business name
JENNIE EDMUNDSON MEMORIAL HOSPITAL
Doing business as
Methodist Jennie Edmundson
Practice address
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone
(712) 396-6000
Fax
(712) 396-6288
NPI assigned
Oct 6, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Jeff Francis
Title
VP Finance & Cfo
Phone
(402) 354-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 780039H IA Primary

Addresses

Primary practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Mailing address

PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230

Other identifiers 3

IdentifierTypeStateIssuer
5000005OtherIAUHC
0600478MedicaidIA
60047OtherIAWELLMARK

Other names 1

  • Methodist Jennie Edmundson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000530 IA Part A Provider - Hospital 9537064837 Practice locations: Council Bluffs, IA; Glenwood, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457448755. Details of each certification follow.

Hospital certification: CCN 160047

Legal name
JENNIE EDMUNDSON MEMORIAL HOSPITAL
Doing business as
METHODIST JENNIE EDMUNDSON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 24, 2016
Beds
236
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 1894 in IA
Enrollment address
933 E Pierce St
Council Bluffs, IA 51503-4626
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Other

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Methodist Jennie EdmundsonCCN 160047 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Madeliene Hawking MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jeffrey E Francis Individual Contracted Managing EmployeeVP Finance and Cfo Mar 7, 2016
Corporate OfficerVP Finance and Cfo Mar 7, 2016
Operational/Managerial ControlVP Finance and Cfo Mar 7, 2016
Stephen L Goeser Individual Contracted Managing EmployeePresident & Ceo of MHS Jan 1, 2008
Corporate OfficerPresident & Ceo of MHS Jan 1, 2008
Operational/Managerial ControlPresident & Ceo of MHS Jan 1, 2008
Michael K Zlomke Individual Corporate DirectorBoard of Directors & MD Jan 1, 2007
Women's Christian Association of Council Bluff, Iowa Organization, Council Bluffs, IA Non-profit Other Jan 1, 1966
David Burd Individual Corporate OfficerPresident & Ceo Jul 1, 2021
W-2 Managing EmployeeSenior VP of Operations May 4, 2020
Martha Peterson Individual Corporate DirectorBoard of Director Jan 1, 2023
Ricky Killion Individual Corporate DirectorBoard of Director Jan 1, 2024
Lawrence Uebner Individual Corporate DirectorBoard of Directors Jan 1, 2007
Deborah L Bass Individual Corporate DirectorBoard Member Jan 1, 2014
Daniel Kinney Individual Corporate DirectorBoard of Directors Jan 1, 2007
Emma Chance Individual Corporate DirectorBoard of Directors Jan 1, 1987
John P Nelson Individual Corporate DirectorBoard of Directors Jan 1, 1996
Rick Crowl Individual Corporate DirectorBoard of Directors Jan 1, 2013
Nebraska Methodist Health System Inc Organization, Omaha, NE Non-profit Other Mar 25, 1994
Jason M. James Individual Corporate DirectorBoard of Director Jan 1, 2019
Jennie Edmundson Memorial Hospital Organization, Council Bluffs, IA Non-profit Operational/Managerial Control Jan 1, 1966
Other Jan 1, 1996
Thomas Whitson Individual Corporate DirectorBoard of Directors Jan 1, 1987

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 26

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 26

Affiliated clinicians 478

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

View all 478

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1457448755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-4230",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-6000",
            "fax_number": "712-396-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE EDMUNDSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP FINANCE & CFO",
        "authorized_official_telephone_number": "402-354-5438"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "780039H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "5000005",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600478",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "60047",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Jennie Edmundson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Jennie Edmundson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.