NPIMap

Organization Active NPI

St Luke's Jones Regional Medical Center

Doing business as Unitypoint Health-Family Medicine Clinic-Belle Plaine

  • Rural Health Clinic/Center
  • Belle Plaine, IA
National Provider Identifier
1497255269
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST LUKE'S JONES REGIONAL MEDICAL CENTER
Doing business as
Unitypoint Health-Family Medicine Clinic-Belle Plaine
Practice address
105 9TH Ave
Belle Plaine, IA 52208-2200
Phone
(319) 444-2840
Fax
(319) 444-3461
NPI assigned
Feb 18, 2018
Last updated
Feb 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKE'S JONES REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Authorized official

Name
Mr. Eric Briesemeister
Title
Ceo
Phone
(319) 462-6131

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

105 9TH Ave
Belle Plaine, IA 52208-2200

Mailing address

1795 Highway 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131

Other names 1

  • UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-BELLE PLAINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430000659 IA Part A Provider - Rural Health Clinic 4688572811 Practice locations: Belle Plaine, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497255269. Details of each certification follow.

Rural health clinic certification: CCN 168610

Legal name
ST LUKES JONES REGIONAL MEDICAL CENTER
Doing business as
UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-BELLE PLAINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 3, 2012
Last certification
Jul 30, 2024
Ownership / control type
2B
Most recent change of ownership
Jun 4, 2018 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
105 9TH Ave
Belle Plaine, IA 52208-2200
Related CCNs
161306

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

Other NPIs with the same Medicare PAC ID 10

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0386395Unitypoint Health105 9TH Avenue, Belle Plaine, IA 52208Provider-performed microscopyJun 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jones Regional Emergenc9 organizations share this tax ID, including this one
Part of
Jones Regional Emergenc

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Casey S Greene Individual Corporate Officer Nov 1, 2023
Corporate Director Nov 1, 2023
Philip Lee Hanna Individual Corporate DirectorDirector Feb 7, 2022
Aimee Hospodarsky Individual Corporate Director Feb 6, 2023
Katherine Read Individual Contracted Managing EmployeeRegional VP/Clinic Operations Jan 1, 2025
Operational/Managerial ControlRegional VP/Clinic Operations Jan 1, 2025
Brian a Lindo Individual Contracted Managing EmployeeMedical Director Jun 24, 2020
Operational/Managerial ControlMedical Director Jun 24, 2020
Tara Buckley Individual W-2 Managing EmployeeClinic Administrator Jan 1, 2024
Operational/Managerial ControlClinic Administrator Jan 1, 2024
Rachel a Vonbehren Individual W-2 Managing EmployeeDirector of Support Services Jun 10, 2000
Operational/Managerial ControlDirector of Support Services Jun 10, 2000
Eric G Briesemeister Individual Contracted Managing EmployeeCeo Oct 5, 2009
Corporate OfficerCeo Oct 5, 2009
Corporate DirectorCeo Oct 5, 2009
Operational/Managerial ControlCeo Oct 5, 2009
Iowa Health System Organization, West Des Moines, IA Non-profit Operational/Managerial Control Jan 1, 1995
Lucas N Hicks Individual Corporate Director Nov 1, 2023
St Luke's Healthcare Organization, Cedar Rapids, IA Non-profit Operational/Managerial Control Oct 22, 1998
Angela M Greif Individual Contracted Managing EmployeeChief Medical Officer Nov 24, 2020
Operational/Managerial ControlChief Medical Officer Nov 24, 2020
Janine Sulzner Individual Corporate Director Feb 6, 2023
David Kehoe Individual Corporate Officer Feb 6, 2023
Corporate Director Jun 2, 2020

Owners & managing parties with NPI records 2

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
Jones Regional Medical CenterAnamosa, IA, CCN 16Z306 Hospital 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control		 Oct 1, 2007
Oct 3, 2007

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 75

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

View all 75

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518912000000",
    "number": "1497255269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 9TH AVE",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522082200",
            "telephone_number": "319-444-2840",
            "fax_number": "319-444-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A",
        "authorized_official_last_name": "BRIESEMEISTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-462-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-BELLE PLAINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Plaine, IA

Sources for this page

Verify at the official NPI Registry.