City of Redfield
Organization Active NPI Home Health Agency · Redfield, SD
NPI 1477525517 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1477525517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CITY OF REDFIELD
- Practice address
- 1031 W 2ND St
Redfield, SD 57469-1501 - Phone
- (605) 472-2941
- NPI assigned
- Feb 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Karen E. Sjurseth
- Title
- Ceo Administrator
- Phone
- (605) 472-1110
Owners & managing parties with NPI records 5
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 10
Facilities with the same owner 3
Practitioners 12
-
John Andrew Berg, MD
-
Paul Thrasher Denna, M.D.
-
Alex A Falk, MD
-
Haley Nicole Mason, CNP
-
Andrea Marie Rische, CNP
-
Carol Ann Schaunaman, CNP
-
Randall Waldner, M.D.
-
Danny A Wolfgram, MD
-
Ronald Thomas Wren Jr., PA C
Medicare Care Compare: Home health agency
- Listed as
- Community Memorial Hospital Home Health
- Ownership
- Proprietary
- Certified
- Jan 6, 1995
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Home health agency certification: CCN 437055
- Legal name
- CITY OF REDFIELD
- Doing business as
- COMMUNITY MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 6, 1995
- Last certification
- May 1, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Government · Non-profit
- Enrollment address
- 1031 W 2ND St
Redfield, SD 57469-1501
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Randall Maddox |
Corporate Director |
Aug 15, 2019 | |
| Willard Schwartz |
Corporate Director |
May 4, 2020 | |
| Joseph C Morrissette |
Corporate Director |
May 4, 2020 | |
| City of Redfield |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Eric Schueth |
Corporate Director |
Jul 20, 2020 | |
| Lynn Brace |
Corporate Director |
Jun 15, 2020 | |
| Kristine K Wren |
Corporate Director |
Jul 20, 2020 | |
| Joseph Lutter |
Corporate Director |
Jun 15, 2020 | |
| Karen Sjurseth |
Corporate Officer |
Jan 1, 2021 | |
| W-2 Managing Employee |
Jan 1, 2021 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 28, 1966 |
| Community Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Redfield Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Apr 14, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100727001015 | SD | Part a Provider - Home Health Agency | 5698757631 | Practice locations: Redfield, SD |
National Provider Directory
- Tax ID family
- Redffiled Clinic
Locations
1005 W 1st St
Ste 2
Redfield, SD 57469
Phone (605) 450-6031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1031 W 2ND St
Redfield, SD 57469-1501
Mailing address
PO Box 420
Redfield, SD 57469-0420
Phone (605) 472-1110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174040 | Medicaid | SD |
Other names
- Community Memorial Hospital
Other providers in Redfield, SD
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All providers in Redfield, SD · Home Health Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.