NPIMap

Organization Active NPI

Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
National Provider Identifier
1598844037
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
890026H Issued in IA
Legal business name
VAN BUREN COUNTY HOSPITAL
Practice address
304 Franklin St
Keosauqua, IA 52565-1164
Phone
(319) 293-3171
Fax
(319) 293-6314
NPI assigned
Nov 3, 2006
Organization subpart
Yes
Parent organization
VAN BUREN COUNTY HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Ms. Kara M. McEntee
Title
Cfo
Phone
(319) 293-3171

Owners & managing parties with NPI records 2

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

Other NPIs with the same Medicare PAC ID 6

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

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

Facilities with the same owner 98

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

View all 98

Practitioners 58

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

View all 58

Affiliated clinicians 3

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

Medicare participation

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

Hospital certification: CCN 16Z337

Legal name
VAN BUREN COUNTY HOSPITAL
Doing business as
VAN BUREN COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
304 Franklin St
Keosauqua, IA 52565-1164

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000833 IA Part a Provider - Critical Access Hospital 7214829530 Practice locations: Keosauqua, IA

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Kara McEntee Individual Corporate OfficerCfo Jul 31, 2013
W-2 Managing EmployeeCfo Apr 19, 2007
Operational/Managerial ControlCfo Apr 19, 2007
Benjamin D Sherod Individual Corporate Officer Jan 28, 2013
Corporate Director Oct 22, 2010
Patricia Lou Tucker Individual Corporate Director Dec 31, 2022
Dana R Brecount Individual W-2 Managing EmployeeChief of Staff Jul 1, 2017
Operational/Managerial ControlChief of Staff Jul 1, 2017
Ann McBride Individual Corporate Officer Feb 23, 2021
Corporate Director May 26, 2020
Garen Carpenter Individual Contracted Managing EmployeeCeo Aug 3, 2020
Corporate OfficerCeo Aug 3, 2020
Operational/Managerial ControlCeo Aug 3, 2020
Quenton Dodson Individual Corporate Officer Feb 27, 2018
Corporate Director Mar 29, 2016
Mercy Health Network Inc Organization, Clive, IA Corporation, Management services company, Non-profit Operational/Managerial Control Mar 1, 2020
Lori L Gaydusek Individual W-2 Managing EmployeeInterim Cno Apr 28, 2025
Operational/Managerial ControlInterim Cno Apr 28, 2025
Michael Thomas Individual Corporate Director Jan 1, 1998
Richard D Nichols Individual Corporate Director Oct 28, 2024
Heather a Charbonneau Individual Corporate Officer Feb 27, 2018
Corporate Director Nov 28, 2017

National Provider Directory

National Provider Directory
Tax ID family
Van Buren County Hospital8 organizations share this tax ID, including this one
Part of
Van Buren County Hospital

Other organizations with this tax ID 7

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

Locations

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 890026H IA Primary

Addresses

NPPES NPI Registry

Primary practice location

304 Franklin St
Keosauqua, IA 52565-1164

Mailing address

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0655043MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2014.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1598844037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171",
            "fax_number": "319-293-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171",
            "fax_number": "319-293-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN BUREN COUNTY HOSPITAL",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "MCENTEE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-293-3171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "890026H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655043",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

Verify at the official NPI Registry.