Organization Active NPI

Shelby County Chris a. Myrtue Memorial Hospital

Doing business as Myrtue Medical Center - Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harlan, IA
National Provider Identifier
1831717552
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL
Doing business as
Myrtue Medical Center - Behavioral Health
Practice address
1213 Garfield Ave Ste Ll102
Harlan, IA 51537-2057
Phone
(712) 755-5161
NPI assigned
Jul 9, 2020
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Kile Magner
Title
Ceo
Phone
(712) 755-4315

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Counselor 101Y00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
School Social Worker 1041S0200X NU
Psychiatry Physician 2084P0800X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1213 Garfield Ave Ste Ll102
Harlan, IA 51537-2057

Mailing address

1213 Garfield Ave
Harlan, IA 51537-2057

Other names 1

  • Myrtue Medical Center - Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040210000133 IA Part B Supplier - Clinic/Group Practice 5193619393 Receives reassigned benefits from 77 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Audubon, IA; Woodbine, IA; Manning, IA; Harlan, IA; Dunlap, IA
O20231127001949 WI Part B Supplier - Clinic/Group Practice 5193619393 Receives reassigned benefits from 1 practitioner
Practice locations: Onalaska, WI

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Shelby County Chris a M

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1213 Garfield Ave
Ste LL102
Harlan, IA 51537
Phone (712) 755-5056

1303 Garfield Ave
Harlan, IA 51537
Phone (712) 755-5056

Ownership & related parties

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Myrtue Medical CenterHarlan, IA, CCN 161374 Hospital Operational/Managerial Control Jan 1, 1966
Myrtue Medical CenterHarlan, IA, CCN 16Z374 Hospital Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center Home HealthHarlan, IA, CCN 167071 Home health agency Operational/Managerial Control Jan 1, 2009
Myrtue Medical Center HospiceHarlan, IA, CCN 161555 Hospice Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Harlan ClinicHarlan, IA, CCN 168509 Rural health clinic Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Avoca ClinicAvoca, IA, CCN 168517 Rural health clinic Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center - Shelby ClinicShelby, IA, CCN 168519 Rural health clinic Operational/Managerial Control Jan 1, 1966
Myrtue Medical Center Ge Larson Elkhorn-Kimballton ClinicElk Horn, IA, CCN 168518 Rural health clinic Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 8

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

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1831717552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE STE LL102",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057",
            "telephone_number": "712-755-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL",
        "enumeration_date": "2020-07-09",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MAGNER",
        "authorized_official_first_name": "KILE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-755-4315"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtue Medical Center - Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myrtue Medical Center - Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

Verify at the official NPI Registry.