Grinnell Regional Medical Center
Organization Active NPI General Acute Care Hospital · Grinnell, IA
NPI 1669420501 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1669420501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 790016H (IA)
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- David-Paul Cavazos
- Title
- Rural President
- Phone
- (641) 236-7511
Owners & managing parties with NPI records 3
-
Jacob Daniel Boyer, PA-C
Other NPIs on the same Medicare enrollment 12
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 3
Facilities with the same owner 65
Practitioners 108
-
Lisa Bishop, DO
-
Gabriel Conley, MD
-
Rebecca Anne Dillman, PA-C
-
Abby Flannagan, DO
-
April L. Forsyth, MD
-
Stacy Kuiper, ARNP
-
Elizabeth Jo Tigges, D.O.
-
Joseph Whitman, DO
-
Kirk Lane Smith, MD
-
Tuba Muhammad Ali, M.D.
-
Hamad Azam, MBBS , M.D
-
Kristina Lucia Beck, ARNP, FNP-C
-
Meghan K Bohlender, PA-C
-
Katlyn Bombei, PA-C
-
Jacob Daniel Boyer, PA-C
-
Natalie Bridge, MD
-
Trevor A Capron, CRNA
Affiliated clinicians 190
-
Caitlyn Jo Al-Ostaz, DNP FNP-C
-
Tuba Muhammad Ali, M.D.
-
Musab Alqasrawi, MBBS
-
Aaron Lee Anderson, PA-C
-
Juan D Arenas, MD
-
Lauren N. Bales, ARNP
-
Russell Evan Bandstra, M.D.
-
Andrew Barnes, DO
-
Cortney A Bax, PA-C
-
Kristina Lucia Beck, ARNP, FNP-C
-
Lisa Bishop, DO
-
Katlyn Bombei, PA-C
-
Samantha Bonin, DNP, AGACNP-BC
-
Jacob Daniel Boyer, PA-C
-
Natalie Bridge, MD
-
James A. Brown, MD
-
Brittany Ann Michelle Buckner, MSN, RN, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- Grinnell Regional Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
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
- Corporation · Non-profit
- Incorporated
- Oct 30, 1967 in IA
- Enrollment address
- 210 4TH Ave
Grinnell, IA 50112-1898 - Hospital subgroups
- Acute care, Swing-bed approved
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| David Paul Cavazos |
Contracted Managing Employee |
Jun 3, 2024 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Corporate Director |
Jun 3, 2024 | ||
| Operational/Managerial Control |
Jun 3, 2024 | ||
| Gene S Gessner |
W-2 Managing Employee |
Jan 15, 2024 | |
| Operational/Managerial Control |
Jan 15, 2024 | ||
| Sally J Lang |
Corporate Director | Jun 26, 2012 | |
| Darwin Copeman |
Corporate Director | Feb 1, 2019 | |
| Traci Smith |
Corporate Director | Jan 1, 2022 | |
| Amy Miller |
Corporate Director | Jan 1, 2021 | |
| Gabriel D Lancaster |
Corporate Director | Mar 1, 2026 | |
| Laura Juel |
W-2 Managing Employee |
Jan 2, 2019 | |
| Operational/Managerial Control |
Jan 2, 2019 | ||
| Ross a Patrick |
Corporate Officer |
May 12, 2025 | |
| W-2 Managing Employee |
May 12, 2025 | ||
| Operational/Managerial Control |
May 12, 2025 | ||
| Iowa Health System |
Operational/Managerial Control | Jan 1, 2018 | |
| Rachael Kinnick |
Corporate Officer | Jan 1, 2022 | |
| Corporate Director | Feb 1, 2019 | ||
| Henry W Rietz |
Corporate Officer | Dec 21, 2022 | |
| Corporate Director | Jan 22, 2020 | ||
| Jonathan M Rozenfeld |
Corporate Director | Jan 8, 2024 | |
| Jacob D Boyer |
Corporate Director | Jan 22, 2020 | |
| Angela Claytor |
W-2 Managing Employee |
Apr 20, 2025 | |
| Operational/Managerial Control |
Apr 20, 2025 | ||
| Central Iowa Health System |
Operational/Managerial Control | Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
202 4th Ave
Ste 101
Grinnell, IA 50112
Phone (641) 236-2364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 790016H | IA | Yes |
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
- UNITYPOINT HEALTH - GRINNELL REGIONAL MEDICAL CENTER
Other providers in Grinnell, IA
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
- Grinnell Regional Medical Center
All providers in Grinnell, IA · General Acute Care Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.