NPIMap

Organization Active NPI

Richland Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Richland Center, WI
National Provider Identifier
1821028440
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 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
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RICHLAND HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821028440. Details of each certification follow.

Hospital certification: CCN 52Z341

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

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Spring Green Medical Ce9 organizations share this tax ID, including this one
Part of
Spring Green Medical Ce

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 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 OfficerCfo 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

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.