NPIMap

Organization Active NPI

Loring Hospital

  • Critical Access Hospital
  • Sac City, IA
National Provider Identifier
1851440184
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
810135H Issued in IA
Legal business name
LORING HOSPITAL
Practice address
211 Highland Ave
Sac City, IA 50583-2416
Phone
(712) 662-7105
Fax
(712) 662-3297
NPI assigned
Jan 9, 2007
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LORING HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Matthew D Johnson
Title
Ceo
Phone
(712) 662-7105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 810135H IA
Critical Access Hospital 282NC0060X 810135H IA Primary

Addresses

Primary practice location

211 Highland Ave
Sac City, IA 50583-2416

Mailing address

211 Highland Ave
Sac City, IA 50583-2416
Phone (712) 662-7105

Other identifiers 2

IdentifierTypeStateIssuer
66091OtherIABCBS SWINGBED
0655050MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000471 IA Part A Provider - Critical Access Hospital 1052379625 Practice locations: Sac City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851440184. Details of each certification follow.

Hospital certification: CCN 16Z370

Legal name
LORING HOSPITAL
Doing business as
LORING HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1993 in IA
Enrollment address
211 Highland Ave
Sac City, IA 50583-2416
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).

National Provider Directory

National Provider Directory
Tax ID family
Loring Hospital4 organizations share this tax ID, including this one
Part of
Loring Hospital

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Frank Richardson Individual Corporate Officer Jan 20, 2022
Corporate Director Jan 29, 2019
Frances L Becker Individual Corporate Officer Jul 16, 2010
Corporate Director Feb 23, 2010
Russell K Davis Individual Corporate Director Jan 29, 2019
Evan D Hecht Individual Corporate Director Apr 26, 2016
John a Meredith Individual Corporate Officer Jan 26, 2016
Corporate Director Jun 24, 2014
Trinity Health Systems, Inc Organization, Fort Dodge, IA Corporation, Non-profit Operational/Managerial Control Jan 1, 1994
Matthew Donald Johnson Individual Contracted Managing EmployeeCeo Nov 21, 2022
Corporate OfficerCeo Nov 21, 2022
Operational/Managerial ControlCeo Nov 21, 2022
Rochelle a Crump Individual Corporate Officer Mar 1, 2019
Corporate Director Aug 29, 2017
Zoltan L Pek Individual Corporate Director Feb 25, 2021
Leszek J Marczewski Individual Operational/Managerial ControlChief of Staff May 11, 1998
Kodi Brotherson Individual Corporate Director May 30, 2024
Kay M Blessington Individual Corporate Director Jan 26, 2023
Wendy Hurd Individual Corporate Director May 30, 2024
Mindy Steinkamp Individual W-2 Managing EmployeeBusiness Office Manager Oct 25, 2021
Operational/Managerial ControlBusiness Office Manager Oct 25, 2021

Owners & managing parties with NPI records 3

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

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1851440184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND AVE",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832416",
            "telephone_number": "712-662-7105",
            "fax_number": "712-662-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND AVE",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832416",
            "telephone_number": "712-662-7105",
            "fax_number": "712-662-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORING HOSPITAL",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-662-7105"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "810135H",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "810135H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SWINGBED",
            "identifier": "66091",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655050",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

Verify at the official NPI Registry.