NPIMap

Organization Active NPI

Kossuth Regional Health Center

  • Critical Access Hospital
  • Algona, IA
National Provider Identifier
1891869798
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
550002H Issued in IA
Legal business name
KOSSUTH REGIONAL HEALTH CENTER
Practice address
1515 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-2451
Fax
(515) 295-4505
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Collete McConnell
Title
Cfo
Phone
(515) 295-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 550002H IA Primary

Addresses

Primary practice location

1515 S Phillips St
Algona, IA 50511-3649

Mailing address

1515 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-2451

Other identifiers 2

IdentifierTypeStateIssuer
0655399MedicaidIA
66143OtherIAWELLMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@komhn.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000528 IA Part A Provider - Critical Access Hospital 3375454259 Practice locations: Algona, IA

Hospital certification: CCN 16Z353

Legal name
KOSSUTH REGIONAL HEALTH CENTER
Doing business as
KOSSUTH REGIONAL HEALTH CENTER
Organization structure
OtherNon-profit
Enrollment address
1515 S Phillips St
Algona, IA 50511-3649

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Kossuth Regional HLTH C9 organizations share this tax ID, including this one

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 8

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

NameRoleSinceShare
Jason Wartick Individual Corporate Director Jun 29, 2021
Greg Penning Individual Corporate Director Jan 24, 2023
Kossuth Regional Health Center Organization, Algona, IA Operational/Managerial Control Jan 1, 1973
Thomas C Geelan Individual Corporate DirectorBoard President May 15, 2013
Darlene M Elbert Individual Contracted Managing EmployeeCeo Jan 2, 1987
Corporate OfficerCeo Jan 2, 1987
Brenda L Bormann Individual Corporate Director Oct 26, 2016
Conley J Nelson Individual Corporate DirectorTreasurer May 15, 2013
Collete McConnell Individual Corporate OfficerCfo Feb 1, 2021

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Kossuth Regional Health CenterAlgona, IA, CCN 161353 Hospital Operational/Managerial Control Jan 1, 1973
Kossuth Regional Health CenterAlgona, IA, CCN 167166 Home health agency Operational/Managerial Control Jan 1, 1973
Kossuth Regional Health CenterAlgona, IA, CCN 161515 Hospice Operational/Managerial Control Jan 1, 1973
Kossuth Regional Health CenterBancroft, IA, CCN 163976 Rural health clinic Operational/Managerial Control Jan 1, 1973

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

Affiliated clinicians 7

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1891869798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSSUTH REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "COLLETE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-295-4508"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "550002H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655399",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "66143",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@komhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "KRHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1515 S Phillips St",
            "city": "Algona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505113649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.