NPIMap

Organization Active NPI

Regional Health Services of Howard County

  • Medicare Defined Swing Bed Hospital Unit
  • Cresco, IA
National Provider Identifier
1821030339
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
450057H Issued in IA
Legal business name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Practice address
235 8TH Ave W
Cresco, IA 52136-1062
Phone
(563) 547-2101
Fax
(563) 547-3448
NPI assigned
Jun 11, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Gregory J Burkel
Title
Efo
Phone
(563) 547-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 450057H IA Primary

Addresses

Primary practice location

235 8TH Ave W
Cresco, IA 52136-1062

Mailing address

235 8TH Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101

Other identifiers 2

IdentifierTypeStateIssuer
0655829MedicaidIA
61551OtherWELLMARK BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000432 IA Part A Provider - Critical Access Hospital 1153238977 Practice locations: Cresco, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821030339. Details of each certification follow.

Hospital certification: CCN 16Z328

Legal name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Doing business as
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Organization structure
OtherNon-profit
Enrollment address
235 8TH Ave W
Cresco, IA 52136-1062
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Regional HLTH SVCS How12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Darlene a Vsetecka Individual Corporate DirectorBoard of Trustee Jul 19, 2022
Regional Health Services of Howard County Organization, Cresco, IA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1974
Jeremy C Johnston Individual Corporate DirectorBoard Member Sep 22, 2017
Helen J Kapler Individual Corporate OfficerBoard Member Sep 4, 2012
Charles L Malek Individual Corporate DirectorBoard of Trustee Jul 19, 2022
Howard County Organization, Cresco, IA 5% Or Greater Direct Ownership Interest Jan 1, 1974 100%
Mike W Mahr Individual Corporate OfficerBoard Member Jan 2, 2013
Robin M Schluter Individual Contracted Managing EmployeeCeo Dec 17, 2012
Corporate Officer Dec 17, 2012
John Wacha Individual Corporate DirectorChair Jan 1, 2011
Brandon T Brevig Individual W-2 Managing Employee Feb 9, 2022
Donald J Recker Individual Corporate DirectorBoard Member Feb 23, 2015

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Lime Springs Medical ClinicLime Springs, IA, CCN 163494 Rural health clinic Operational/Managerial Control Nov 1, 2002
Cresco Medical ClinicCresco, IA, CCN 163493 Rural health clinic Operational/Managerial Control Nov 1, 2002
Leroy Medical ClinicLe Roy, MN, CCN 248504 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1976

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 6

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1821030339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361062",
            "telephone_number": "563-547-2101",
            "fax_number": "563-547-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361062",
            "telephone_number": "563-547-2101",
            "fax_number": "563-547-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "BURKEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EFO",
        "authorized_official_telephone_number": "563-547-2022"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "450057H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655829",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "61551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresco, IA

Sources for this page

Verify at the official NPI Registry.