Palo Alto County Hospital
Organization Active NPI Critical Access Hospital · Emmetsburg, IA
NPI 1790793651 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1790793651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 740045H (IA)
- Legal business name
- PALO ALTO COUNTY HOSPITAL
- Practice address
- 3201 1St St
Emmetsburg, IA 50536-2516 - Phone
- (712) 852-5500
- Fax
- (712) 852-5508
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Desiree A Einsweiler
- Title
- Administrator/Ceo
- Phone
- (712) 852-5401
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 4
Facilities with the same owner 4
Practitioners 23
-
Tracey Henderson, ARNP
-
Jason Michael Patton, M.D
-
David Ruzicka, DO
-
Markie Lynn Sargent, ARNP
-
Jared Ball, LMSW/ICAADC
-
Byron T Beasley, MD
-
Paula Jane Blocker, LICSW
-
Sara Boysen, ARNP
-
Timothy Dettmer, M.D.
-
Jennifer Gravenish, ARNP
-
Denisa Hagau, M.D.
-
Arielle Harris, LMSW
-
Amber Houge, PA
-
Misty Renee Patterson, NP-C
-
Amanda Minn Richard, ARNP
-
Venkatesh K. Rudrapatna, M.D.
-
Anna M Zwiefel, CNP
-
Eric Deward Eddy, MD
Affiliated clinicians 76
-
Cameron Lynn Andela, STUDENT
-
Benjamin John Armstrong, CRNA
-
Laura Ann Armstrong, ARNP
-
Byron T Beasley, MD
-
Sandeep Singh Bhangoo, M.D. M.S.
-
Sara Boysen, ARNP
-
Nicholas Broadbent, D.O.
-
Lisa June Carter, NP
-
Timothy Dettmer, M.D.
-
Joshua John Espelund, M.D.
-
Bruce Anthony Feldmann, M.D.
-
Stephen P Fox, M.D.
-
Ami Frohling, ARNP
-
Jashan Gill, MD
-
Jennifer Gravenish, ARNP
-
Gregory Grimberg, MD
-
John Anthon Haak, CRNA, ARNP
-
Denisa Hagau, M.D.
-
Peyton Hantelman, ARNP-FNP
-
Jean Paul Haulard, D.P.M.
-
Jeffre D Helmink, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Palo Alto Community Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Government Operated
- Certified
- Aug 11, 1971
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare Care Compare: Hospital
- Listed as
- Palo Alto County Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Home health agency certification: CCN 167049
- Legal name
- PALO ALTO COUNTY HOSPITAL
- Doing business as
- PALO ALTO COMMUNITY HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 11, 1971
- Last certification
- Dec 9, 2020
- Ownership / control type
- Government Operated
- Organization structure
- Government · Proprietary
- Enrollment address
- 3201 1St St
Emmetsburg, IA 50536-2516
Hospital certification: CCN 161357
- Legal name
- PALO ALTO COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 1, 2004
- Last certification
- Nov 14, 2024
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Government · Non-profit
- Enrollment address
- 3201 1St St
Emmetsburg, IA 50536-2516
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Coleen R Ruddy |
W-2 Managing Employee | Feb 21, 2005 | |
| W-2 Managing Employee | Jan 10, 2012 | ||
| Cynthia Magee |
Corporate Director | Jan 23, 2019 | |
| Nick Steinkamp |
Corporate Director | Jun 22, 2022 | |
| Mark Hobart |
Corporate Director | Jan 2, 2023 | |
| Mikel Jones |
Corporate Director | Jan 2, 2023 | |
| Palo Alto County Hospital |
Operational/Managerial Control | Jan 2, 2013 | |
| Operational/Managerial Control | Jan 10, 2012 | ||
| Collette Johnson |
Corporate Director | Jun 20, 2016 | |
| W-2 Managing Employee | Jun 20, 2016 | ||
| Operational/Managerial Control | Jun 20, 2016 | ||
| Corporate Officer |
Jun 20, 2016 | ||
| W-2 Managing Employee |
Jun 20, 2016 | ||
| Operational/Managerial Control |
Jun 20, 2016 | ||
| Mary Cooper |
Corporate Director | Jan 2, 2023 | |
| Melanie Flynn |
Corporate Director | Jan 27, 2021 | |
| Richard Brennan |
Corporate Director | Feb 20, 2019 | |
| Jonathan Dean Moe |
Contracted Managing Employee | Feb 1, 2021 | |
| Corporate Officer | Feb 1, 2021 | ||
| Operational/Managerial Control | Feb 1, 2021 | ||
| Contracted Managing Employee |
Feb 1, 2021 | ||
| Corporate Officer |
Feb 1, 2021 | ||
| Operational/Managerial Control |
Feb 1, 2021 | ||
| Terry Naig |
Corporate Director | Aug 22, 2012 | |
| Dawn Schmidt |
Corporate Director | Aug 27, 2008 | |
| Sarah Strohman |
Corporate Director |
Jun 23, 2017 | 100% |
| Operational/Managerial Control |
Jun 23, 2017 | 100% | |
| Jana Harris |
Corporate Director | Jan 23, 2019 | |
| Burt J. Hobart |
Corporate Director | Jan 2, 2008 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Palo Alto County Hospital |
Hospital | Operational/Managerial Control | Jan 2, 2008 |
| Palo Alto Community Health Services |
Home health agency | Operational/Managerial Control | Jan 10, 2012 |
| Hospice of Palo Alto County |
Hospice | Operational/Managerial Control | Sep 9, 1993 |
| Family Practice Clinic West Bend |
Rural health clinic | Operational/Managerial Control | Sep 12, 1994 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050926000783 | IA | Part a Provider - Home Health Agency | 4486563061 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Emmetsburg, IA |
| O20061104000288 | IA | Part a Provider - Critical Access Hospital | 4486563061 | Practice locations: Emmetsburg, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 740045H | IA | Yes |
Addresses
Primary practice location
3201 1St St
Emmetsburg, IA 50536-2516
Mailing address
3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60118 | Other | IA | BLUE CROSS PROVIDER NUMBE |
| 0601187 | Medicaid | IA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@pamhn.cernerdirect.com | Direct |
Other providers in Emmetsburg, IA
- Palo Alto County Hospital
- Palo Alto County Hospital
- Palo Alto County Hospital
- Palo Alto County Hospital
- Palo Alto County Hospital
- Palo Alto County Hospital
- Palo Alto County Hospital
- Misty Renee Patterson
- Jason Michael Patton
- Blake Pedersen
All providers in Emmetsburg, IA · Critical Access 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 Dec 3, 2020. 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.