NPIMap

Organization Active NPI

Grinnell Regional Medical Center

Doing business as Unitypoint Health - Grinnell Regional Medical Center

  • General Acute Care Hospital
  • Grinnell, IA
National Provider Identifier
1669420501
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
790016H Issued in IA
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
Unitypoint Health - Grinnell Regional Medical Center
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-7511
Fax
(641) 236-2995
NPI assigned
May 4, 2006
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
David-Paul Cavazos
Title
Rural President
Phone
(641) 236-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 790016H IA Primary

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Other names 1

  • UNITYPOINT HEALTH - GRINNELL REGIONAL MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127001219 IA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 173 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pella, IA; Waterloo, IA; Robins, IA; Oskaloosa, IA; Marshalltown, IA; Marion, IA; Kalona, IA; Iowa City, IA…
O20071128000203 IA Part A Provider - Hospital 0446153662 Practice locations: Montezuma, IA; Grinnell, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669420501. Details of each certification follow.

Hospital certification: CCN 160147

Legal name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
GRINNELL REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 1, 1967
Last certification
Oct 26, 2017
Beds
49
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 30, 1967 in IA
Enrollment address
210 4TH Ave
Grinnell, IA 50112-1898
Main/Primary Hospital Location
Hospital subgroups
Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 12

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Grinnell Regional Medical CenterCCN 160147 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

202 4th Ave
Grinnell, IA 50112
Phone (641) 236-2008

202 4th Ave
Ste 101
Grinnell, IA 50112
Phone (641) 236-2364

202 4th Ave
Ste 200
Grinnell, IA 50112

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
David Paul Cavazos Individual Contracted Managing EmployeeRural President Jun 3, 2024
Corporate OfficerRural President Jan 1, 2025
Corporate DirectorRural President Jun 3, 2024
Operational/Managerial ControlRural President Jun 3, 2024
Gene S Gessner Individual W-2 Managing EmployeeMedical Director Jan 15, 2024
Operational/Managerial ControlMedical Director Jan 15, 2024
Sally J Lang Individual Corporate Director Jun 26, 2012
Darwin Copeman Individual Corporate Director Feb 1, 2019
Traci Smith Individual Corporate Director Jan 1, 2022
Amy Miller Individual Corporate Director Jan 1, 2021
Gabriel D Lancaster Individual Corporate Director Mar 1, 2026
Laura Juel Individual W-2 Managing EmployeeVP of Nursing and Clinical Services Jan 2, 2019
Operational/Managerial ControlVP of Nursing and Clinical Services Jan 2, 2019
Ross a Patrick Individual Corporate OfficerTreasurer May 12, 2025
W-2 Managing EmployeeFinance Site Lead May 12, 2025
Operational/Managerial ControlFinance Site Lead May 12, 2025
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2018
Rachael Kinnick Individual Corporate Officer Jan 1, 2022
Corporate Director Feb 1, 2019
Henry W Rietz Individual Corporate Officer Dec 21, 2022
Corporate Director Jan 22, 2020
Jonathan M Rozenfeld Individual Corporate Director Jan 8, 2024
Jacob D Boyer Individual Corporate Director Jan 22, 2020
Angela Claytor Individual W-2 Managing EmployeeExec Dir of Hospital Operations Apr 20, 2025
Operational/Managerial ControlExec Dir of Hospital Operations Apr 20, 2025
Central Iowa Health System Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Jan 1, 2018

Owners & managing parties with NPI records 3

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

Facilities with the same owner 65

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

View all 65

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

Affiliated clinicians 190

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

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1669420501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "DAVID-PAUL",
        "authorized_official_title_or_position": "RURAL PRESIDENT",
        "authorized_official_telephone_number": "641-236-7511"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "790016H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT HEALTH - GRINNELL REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.