NPIMap

County of Meeker

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Litchfield, MN

NPI 1578718482 · NPPES record last updated Dec 29, 2021

Key facts

NPI
1578718482
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
Legal business name
COUNTY OF MEEKER
Practice address
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone
(320) 693-3242
Fax
(320) 693-4567
NPI assigned
Nov 19, 2008
Organization subpart
Yes
Parent organization (as reported)
COUNTY OF MEEKER

Authorized official

Name
Nicole Siegner
Title
Cfo
Phone
(320) 693-4512

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 3

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

  • County of Meeker Rural Health Clinic/Center · Litchfield, MN · NPI 1083221816
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • County of Meeker Critical Access Hospital · Litchfield, MN · NPI 1598860215
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • County of Meeker Rural Health Clinic/Center · Dassel, MN · NPI 1952555146
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

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

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

Facilities with the same owner 3

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

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

Affiliated clinicians 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Hospital certification: CCN 24Z366

Legal name
COUNTY OF MEEKER
Doing business as
MEEKER MEMORIAL HOSPITAL
Organization structure
Other · Non-profit
Incorporated
Jan 1, 1952 in MN
Enrollment address
612 S Sibley Ave
Litchfield, MN 55355-3340
Other Hospital Practice Location

All disclosed owners & managing parties 3

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

NameRoleSinceShare
County of Meeker
Organization · Litchfield, MN 		5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Tyler Ulseth
Individual 		Corporate Officer
Cfo		 Sep 30, 2024
W-2 Managing Employee
Cfo		 Sep 30, 2024
Mary Ellen Wells
Individual 		Contracted Managing Employee
Ceo		 Sep 30, 2024
Corporate Officer
Ceo		 Sep 30, 2024

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Meeker Memorial Hospital
Litchfield, MN · CCN 241366		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Meeker Memorial Hospital and Clinics
Dassel, MN · CCN 243490		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1966
Jan 1, 1966
Meeker Memorial Hospital and Clinics
Litchfield, MN · CCN 243491		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040216000811 MN Part B Supplier - Clinic/Group Practice 0840109740 Receives reassigned benefits from 153 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dassel, MN; Litchfield, MN
O20080429000865 MN Part a Provider - Critical Access Hospital 0840109740 Practice locations: Litchfield, MN

National Provider Directory

Tax ID family
Meeker County Mem Hosp (4 organizations share this tax ID)
Part of
Meeker County Mem Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X MN Yes

Addresses

Primary practice location

612 S Sibley Ave
Litchfield, MN 55355-3340

Mailing address

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3242

Other names

  • Meeker Memorial Hospital Doing business as

Other providers in Litchfield, MN

All providers in Litchfield, MN · Medicare Defined Swing Bed Hospital Unit in Minnesota

Sources for this page

Verify at the official NPI Registry.