NPIMap

Organization Active NPI

Davis County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Bloomfield, IA
National Provider Identifier
1477508190
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
260131H Issued in IA
Legal business name
DAVIS COUNTY HOSPITAL
Practice address
509 N Madison St
Bloomfield, IA 52537-1271
Phone
(641) 664-2145
Fax
(641) 664-1669
NPI assigned
May 23, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Mrs. Kendra Jean Warning
Title
Cfo
Phone
(641) 664-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 260131H IA Primary

Addresses

Primary practice location

509 N Madison St
Bloomfield, IA 52537-1271

Mailing address

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145

Other names 1

  • Davis County Hospital Swing Bed Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCHC@davis.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000169 IA Part A Provider - Critical Access Hospital 3971493040 Practice locations: Bloomfield, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477508190. Details of each certification follow.

Hospital certification: CCN 16Z327

Legal name
DAVIS COUNTY HOSPITAL
Doing business as
DAVIS COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
509 N Madison St
Bloomfield, IA 52537-1271
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Davis County Hospital3 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.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Veronica R. Fuhs Individual Contracted Managing EmployeeChief Executive Officer Oct 15, 2018
Corporate OfficerChief Executive Officer Oct 15, 2018
Nathan Chaney Individual Corporate Director Jun 16, 2025
Davis County Hospital Organization, Bloomfield, IA Operational/Managerial Control Oct 1, 2001
Bailey James Westfall Individual Corporate DirectorTrustee Jan 1, 2023
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit Operational/Managerial Control Oct 1, 2012 100%
Nolan Dean Eakins Individual Corporate DirectorTrustee Jan 1, 2023
Heath Wayne Greiner Individual Corporate DirectorTrustee Jan 1, 2021
Lisa Warren Individual Corporate OfficerChief Financial Officer Jan 1, 2023
Robert D Floyd Individual Corporate DirectorChief of Staff Jan 1, 2015
Lynn Fellinger Individual Corporate DirectorTrustee Jan 1, 2025

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Davis County HospitalBloomfield, IA, CCN 161327 Hospital Operational/Managerial Control Oct 1, 2001

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 98

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

View all 98

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1477508190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-2145",
            "fax_number": "641-664-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-2145",
            "fax_number": "641-664-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WARNING",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-664-2145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "260131H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCHC@davis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Davis County Hospital & Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "509 N Madison St",
            "city": "Bloomfield",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525371271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Davis County Hospital Swing Bed",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Davis County Hospital Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.