NPIMap

Richland Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Richland Center, WI

NPI 1821028440 · NPPES record last updated Dec 19, 2008

Key facts

NPI
1821028440
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
Legal business name
RICHLAND HOSPITAL
Practice address
333 E 2ND St
Richland Center, WI 53581-1914
Phone
(608) 647-6321
Fax
(608) 647-6898
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization (as reported)
RICHLAND HOSPITAL

Authorized official

Name
Lana Myers
Title
Manager Patient Accounting
Phone
(608) 647-6321

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 8

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

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

Practitioners 69

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

View all 69

Affiliated clinicians 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Hospital certification: CCN 52Z341

Legal name
RICHLAND HOSPITAL
Doing business as
THE RICHLAND HOSPITAL INC
Organization structure
Corporation · Non-profit
Incorporated
Nov 1, 1927 in WI
Enrollment address
333 E 2ND St
Richland Center, WI 53581-1914
Other Hospital Practice Location

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
Karen Traynor
Individual 		Corporate Officer
Cfo		 Feb 1, 2010
W-2 Managing Employee Feb 1, 2010
Jerry L Gander
Individual 		Corporate Director Sep 1, 2012
Bruce Roesler
Individual 		Corporate Officer Mar 9, 2015
W-2 Managing Employee Mar 9, 2015
John Annear
Individual 		Corporate Director Apr 25, 2016
Jennifer Myszkowski
Individual 		Corporate Director May 1, 2017
John Poole
Individual 		Corporate Director Apr 25, 2015
David J May
Individual 		Corporate Director Jan 1, 2015
Robert J Nugent
Individual 		Corporate Director Apr 1, 2011
Traci Lynn Peterson
Individual 		Corporate Director Apr 25, 2016
Marilyn Rinehart
Individual 		Corporate Director May 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090210000371 WI Part a Provider - Critical Access Hospital 7618861618 Receives reassigned benefits from 1 practitioner
Practice locations: Richland Center, WI

National Provider Directory

Tax ID family
Richland Hosp Nursing (9 organizations share this tax ID)
Part of
Richland Hosp Nursing

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Yes

Addresses

Primary practice location

333 E 2ND St
Richland Center, WI 53581-1914

Mailing address

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

Other identifiers

IdentifierTypeStateIssuer
11015500MedicaidWI
11015510MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2008.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1821028440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 2ND ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811914",
            "telephone_number": "608-647-6321",
            "fax_number": "608-647-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 2ND ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811914",
            "telephone_number": "608-647-6321",
            "fax_number": "608-647-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHLAND HOSPITAL",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "MANAGER PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "608-647-6321"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11015500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11015510",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

All providers in Richland Center, WI · Medicare Defined Swing Bed Hospital Unit in Wisconsin

Sources for this page

Verify at the official NPI Registry.