NPIMap

Organization Active NPI

Winneshiek Medical Center

Doing business as WinnMed Skilled Nursing

  • Critical Access Hospital
  • Decorah, IA
National Provider Identifier
1740339084
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
960127H Issued in IA
Legal business name
WINNESHIEK MEDICAL CENTER
Doing business as
WinnMed Skilled Nursing
Practice address
901 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 382-2911
Fax
(563) 387-3102
NPI assigned
Jan 9, 2007
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Steven Slessor
Title
Cao
Phone
(563) 387-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 960127H IA Primary

Addresses

Primary practice location

901 Montgomery St
Decorah, IA 52101-2325

Mailing address

901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911

Other identifiers 1

IdentifierTypeStateIssuer
0655571MedicaidIA

Other names 1

  • WinnMed Skilled Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000261 IA Part A Provider - Critical Access Hospital 4688582935 Practice locations: Decorah, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740339084. Details of each certification follow.

Hospital certification: CCN 16Z371

Legal name
WINNESHIEK MEDICAL CENTER
Doing business as
WINNMED
Organization structure
OtherNon-profit
Enrollment address
901 Montgomery St
Decorah, IA 52101-2325
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Midwest Hospitalists LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Benjamin W Stevens Individual Corporate OfficerCfo Feb 28, 2022
W-2 Managing EmployeeCfo Feb 28, 2022
Britt Rhodes Individual Corporate OfficerBoard Member Jan 1, 2023
Janice Heikes Individual Corporate DirectorBoard Member Jan 1, 2023
Mark Jensen Individual Corporate DirectorBoard Member Jan 1, 2023
Rebekah N Krueger Individual Corporate OfficerBoard Member Oct 2, 2024
Clark Goltz Individual Corporate DirectorChairperson Oct 2, 2008
Justin Gullekson Individual Corporate DirectorSecretary/Treasurer May 4, 2022
David C Rooney Individual Corporate DirectorCoo Sep 3, 2024
Steven R Slessor Individual Corporate OfficerCao Feb 28, 2022
Karen Palmer McLean Individual Corporate OfficerVice Chairperson Jan 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1740339084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-387-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-387-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNESHIEK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SLESSOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "563-387-3145"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "960127H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655571",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WinnMed Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.