NPIMap

Organization Active NPI

Shelby County Chris a Myrtue Memorial Hospital

Doing business as Myrtue Medical Center - G.E. Larson Elk Horn-Kimballton Clinic

  • Rural Health Clinic/Center
  • Elk Horn, IA
National Provider Identifier
1467569905
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
Doing business as
Myrtue Medical Center - G.E. Larson Elk Horn-Kimballton Clinic
Practice address
4022 Main Street
Elk Horn, IA 51531-2102
Phone
(712) 764-4642
Fax
(712) 764-4643
NPI assigned
Aug 23, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Kile Magner
Title
Ceo
Phone
(712) 755-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

4022 Main Street
Elk Horn, IA 51531-2102

Mailing address

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

Other identifiers 1

IdentifierTypeStateIssuer
0685149MedicaidIA

Other names 1

  • Myrtue Medical Center - G.E. Larson Elk Horn-Kimballton Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000883 IA Part A Provider - Rural Health Clinic 5193619393 Practice locations: Elk Horn, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467569905. Details of each certification follow.

Rural health clinic certification: CCN 168518

Legal name
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
Doing business as
MYRTUE MEDICAL CENTER GE LARSON ELKHORN-KIMBALLTON CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2005
Last certification
Sep 22, 2021
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
4022 Main St
Elk Horn, IA 51531-2102

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Shelby County Chris a M13 organizations share this tax ID, including this one
Part of
Shelby County Chris a M

Other organizations with this tax ID 12

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

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
Kristy L Hansen Individual W-2 Managing EmployeeCfo Feb 11, 2013
Operational/Managerial ControlCfo Feb 11, 2013
Kathleen Schomer Kohorst Individual Corporate Director Jan 1, 2023
Barry a. Jacobsen Individual W-2 Managing EmployeeCeo May 1, 1997
Operational/Managerial ControlCeo May 1, 1997
Jeanine Larsen Individual Corporate Director May 24, 2016
Brian S Anderson Individual W-2 Managing EmployeeMD; Jan 1, 2023
Terrance R Torneten Individual Corporate Director Jan 1, 2013
James Bieker Individual Corporate Director Dec 12, 2023
Kimberly K Burchett Individual W-2 Managing EmployeeClinic Administrator Dec 8, 2008
Operational/Managerial ControlClinic Administrator Dec 8, 2008
James B Zimmerman Individual Corporate Director Jan 1, 2013
Shelby County Chris a Myrtue Memorial Hospital Organization, Harlan, IA Operational/Managerial Control Jan 1, 1966
Michael Albert Frederick Individual Corporate Director May 24, 2022
Janis Christine Norgaard Individual Corporate Director Jan 1, 2023
Kile Magner Individual W-2 Managing EmployeeCeo Jan 1, 2026
Operational/Managerial ControlCeo Jan 1, 2026

Owners & managing parties with NPI records 12

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

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Myrtue Medical CenterHarlan, IA, CCN 161374 Hospital Operational/Managerial Control Jan 1, 1966
Myrtue Medical CenterHarlan, IA, CCN 16Z374 Hospital Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center Home HealthHarlan, IA, CCN 167071 Home health agency Operational/Managerial Control Jan 1, 2009
Myrtue Medical Center HospiceHarlan, IA, CCN 161555 Hospice Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Harlan ClinicHarlan, IA, CCN 168509 Rural health clinic Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Avoca ClinicAvoca, IA, CCN 168517 Rural health clinic Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Shelby ClinicShelby, IA, CCN 168519 Rural health clinic Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1467569905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057",
            "telephone_number": "712-755-5161",
            "fax_number": "712-755-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 MAIN STREET",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "515312102",
            "telephone_number": "712-764-4642",
            "fax_number": "712-764-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MAGNER",
        "authorized_official_first_name": "KILE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-755-4315"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtue Medical Center - G.E. Larson Elk Horn-Kimballton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Horn, IA

Sources for this page

Verify at the official NPI Registry.