NPIMap

Organization Active NPI

St Anthony Regional Hospital and Nursing Home

  • Family Medicine Physician
  • Carroll, IA
National Provider Identifier
1801815972
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Practice address
311 S Clark St
Carroll, IA 51401-3038
Phone
(712) 792-2222
Fax
(712) 792-3875
NPI assigned
Jul 19, 2006
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
John Munson
Title
Cfo
Phone
(712) 794-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

311 S Clark St
Carroll, IA 51401-3038

Mailing address

311 S Clark St
PO Box 628
Carroll, IA 51401-3038
Phone (712) 792-2222

Other names 1

  • St Anthony Regional Hospital Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000218 IA Part B Supplier - Clinic/Group Practice 4688586829 Receives reassigned benefits from 130 practitioners
3 other NPIs on this enrollment
Practice locations: Atlantic, IA; Carroll, IA; Denison, IA; Humboldt, IA; Pocahontas, IA; Storm Lake, IA

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
St Anthony Regional Hospital

Locations

221 Main St
Breda, IA 51436
Phone (712) 673-2301

1524 E US Highway 30
Carroll, IA 51401
Phone (712) 792-5279

311 S Clark St
Fl 4
Carroll, IA 51401
Phone (712) 794-5435

311 S Clark St
Ste 210
Carroll, IA 51401
Phone (712) 794-5279

318 S Maple St
Ste 2
Carroll, IA 51401
Phone (712) 794-5279

318 S Maple St
Ste 3
Carroll, IA 51401
Phone (712) 794-5408

405 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

311 W 1st St
Wall Lake, IA 51466
Phone (712) 664-2800

235 Highway 30
Westside, IA 51467
Phone (712) 663-4373

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
BCG Data ServicesCarroll, IA, CCN 165796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025
Jul 1, 2025
St Anthony Regional Hospital & Nursing HomeCarroll, IA, CCN 167207 Home health agency Operational/Managerial Control Nov 1, 1997
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 161546 Hospice Operational/Managerial Control Nov 1, 1997
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 163400 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 28, 1904

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 133

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 133

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1801815972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "address_2": "PO BOX 628",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-794-5115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Regional Hospital Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.