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Organization Active NPI

Hermann Area Hospital District

  • Rural Health Clinic/Center
  • Montgomery City, MO
National Provider Identifier
1811062375
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HERMANN AREA HOSPITAL DISTRICT
Practice address
504 N Sturgeon St
Montgomery City, MO 63361-1829
Phone
(573) 564-2990
Fax
(573) 564-2963
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dan McKinney
Title
Administrator
Phone
(573) 486-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

504 N Sturgeon St
Montgomery City, MO 63361-1829

Mailing address

PO Box 19
Hermann, MO 65041-0019
Phone (573) 486-1193

Other identifiers 1

IdentifierTypeStateIssuer
590420808MedicaidMO

Other names 1

  • Associated Medical Arts Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000341 MO Part A Provider - Rural Health Clinic 5496669962 Practice locations: Montgomery City, MO

Rural health clinic certification: CCN 263449

Legal name
HERMANN AREA HOSPITAL DISTRICT
Doing business as
ASSOCIATED MEDICAL ARTS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 17, 1995
Last certification
Feb 25, 2026
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
504 North Sturgeon Street
Montgomery City, MO 63361-1829
Related CCNs
261314

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Hermann Area Dist Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Steven M Strubberg Individual Corporate DirectorBoard of Director Member Mar 26, 2018
William Trigg Render Individual Corporate DirectorBoard of Director Member Jun 24, 2019
Janet Laboube Individual Corporate DirectorBoard of Director Vice President Feb 19, 2007
Clarence McKinney Individual Corporate DirectorDirector of Clinic Operations Aug 24, 1992 100%
W-2 Managing EmployeeAdministraor Aug 24, 1992 100%
Ellen R Schaumberg Individual Corporate DirectorDirector of Clinic Operations Aug 24, 1992 100%
W-2 Managing Employee Feb 3, 2010
Dale C Ridder Individual Corporate DirectorBoard of Director President May 21, 2018

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hermann Area District HospitalHermann, MO, CCN 261314 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 14, 1967
Jan 1, 1966
Hermann Area District HospitalHermann, MO, CCN 26Z314 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 14, 1967
Jan 1, 1966

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1811062375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650410019",
            "telephone_number": "573-486-1193",
            "fax_number": "573-486-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N STURGEON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611829",
            "telephone_number": "573-564-2990",
            "fax_number": "573-564-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMANN AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-486-2191"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590420808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Medical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery City, MO

Sources for this page

Verify at the official NPI Registry.