NPIMap

Organization Active NPI

Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
National Provider Identifier
1821055989
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
380114H Issued in IA
Legal business name
GRUNDY COUNTY MEMORIAL HOSPITAL
Practice address
201 E J Ave
Grundy Center, IA 50638-2096
Phone
(319) 824-5421
Fax
(319) 824-6291
NPI assigned
May 1, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Ms. Lisa A. Zinkula
Title
Cfo
Phone
(319) 824-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 380114H IA Primary

Addresses

Primary practice location

201 E J Ave
Grundy Center, IA 50638-2096

Mailing address

201 E J Ave
Grundy Center, IA 50638-2096
Phone (319) 824-5421

Other identifiers 2

IdentifierTypeStateIssuer
60035OtherIABCBS PROVIDER #
0600353MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000161 IA Part A Provider - Critical Access Hospital 6406766435 Receives reassigned benefits from 67 practitioners
Practice locations: Grundy Center, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821055989. Details of each certification follow.

Hospital certification: CCN 161303

Legal name
GRUNDY COUNTY MEMORIAL HOSPITAL
Doing business as
GRUNDY COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2000
Last certification
Sep 7, 2016
Beds
25
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
201 E J Ave
Grundy Center, IA 50638-2096
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Grundy County Memorial HospitalCCN 161303 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Grundy County Memorial3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Melody a Hoy Individual Corporate Officer Aug 28, 2019
Corporate Director May 29, 2019
Jeremy G Cordes Individual Contracted Managing EmployeeChief of Staff Dec 19, 2022
Operational/Managerial ControlChief of Staff Dec 19, 2022
Douglas C Kruse Individual Corporate Director Aug 26, 2020
Christine K Schildroth Individual Corporate Officer Jul 1, 2022
Corporate Director Oct 27, 2021
Eric L Olson Individual Corporate Director Jun 28, 2023
Lisa Ann Zinkula Individual Contracted Managing EmployeeCfo Mar 1, 2003
Corporate OfficerCfo Jan 19, 2013
Operational/Managerial ControlCfo Mar 1, 2003
Elizabeth a Waller Individual Corporate Director Sep 27, 2023
Allen Health Systems Inc Organization, Waterloo, IA Corporation, Non-profit Operational/Managerial Control Jul 1, 2004
Richard M Smith Individual Corporate Officer Jul 1, 2021
Corporate Director Jun 26, 2019
Todd a Geer Individual Corporate Director Aug 24, 2016
Adam B Scherling Individual Contracted Managing EmployeePresident Jul 23, 2018
Corporate OfficerPresident Jul 23, 2018
Operational/Managerial ControlPresident Jul 23, 2018
Brent M Bovy Individual Corporate Director Feb 24, 2016

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
CreeksideGrundy Center, IA, CCN 165623 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

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

  • Creekside, Inc

    dba Creekside

    • Nursing Facility/Intermediate Care Facility
    • Grundy Center, IA
    • NPI 1225546948

    Adp of the SNF

    CMS ownership

Facilities with the same owner 12

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

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 68

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 68

Affiliated clinicians 161

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

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1821055989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E J AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506382096",
            "telephone_number": "319-824-5421",
            "fax_number": "319-824-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E J AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506382096",
            "telephone_number": "319-824-5421",
            "fax_number": "319-824-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "ZINKULA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-824-5082",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "380114H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "60035",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600353",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy Center, IA

Sources for this page

Verify at the official NPI Registry.