NPIMap

Organization Active NPI

City of Redfield

Doing business as Community Memorial Hospital

  • Home Health Agency
  • Redfield, SD
National Provider Identifier
1477525517
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CITY OF REDFIELD
Doing business as
Community Memorial Hospital
Practice address
1031 W 2ND St
Redfield, SD 57469-1501
Phone
(605) 472-2941
NPI assigned
Feb 3, 2006
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Karen E. Sjurseth
Title
Ceo Administrator
Phone
(605) 472-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 names 1

  • Community Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727001015 SD Part A Provider - Home Health Agency 5698757631 Practice locations: Redfield, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477525517. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
1031 W 2ND St
Redfield, SD 57469-1501
HHA Branch

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Memorial Hospital Home HealthCCN 437055 · All quality measures
Ownership
Proprietary
Certified
Jan 6, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
City of Redfield11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Randall Maddox Individual Corporate DirectorBoard Member Aug 15, 2019
Willard Schwartz Individual Corporate DirectorBoard Member May 4, 2020
Joseph C Morrissette Individual Corporate DirectorBoard Member - President May 4, 2020
City of Redfield Organization, Redfield, SD Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Eric Schueth Individual Corporate DirectorBoard Member Jul 20, 2020
Lynn Brace Individual Corporate DirectorBoard Member Jun 15, 2020
Kristine K Wren Individual Corporate DirectorBoard Member Jul 20, 2020
Joseph Lutter Individual Corporate DirectorBoard Member Jun 15, 2020
Karen Sjurseth Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Community Memorial HospitalRedfield, SD, CCN 431316 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 28, 1966
Community Memorial HospitalRedfield, SD, CCN 43Z316 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Redfield ClinicRedfield, SD, CCN 433404 Rural health clinic 5% Or Greater Direct Ownership Interest Apr 14, 2010

Owned or controlled facilities with NPI records 5

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

  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1144292244

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1548232747

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1871565853

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Ambulance
    • Redfield, SD
    • NPI 1881666444

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Redfield Clinic

    • Rural Health Clinic/Center
    • Redfield, SD
    • NPI 1972575173

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 3

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": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1477525517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574690420",
            "telephone_number": "605-472-1110",
            "fax_number": "605-472-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W 2ND ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691501",
            "telephone_number": "605-472-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF REDFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SJURSETH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "605-472-1110"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redfield, SD

Sources for this page

Verify at the official NPI Registry.