NPIMap

Organization Active NPI

Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
National Provider Identifier
1902805062
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
880053H Issued in IA
Legal business name
GREATER REGIONAL MEDICAL CENTER
Practice address
1700 W Townline St
Creston, IA 50801-1054
Phone
(641) 782-7091
Fax
(641) 782-1170
NPI assigned
Jul 20, 2005
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mr. Matt L McCutchan
Title
Cfo
Phone
(641) 782-3899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 880053H IA Primary

Addresses

Primary practice location

1700 W Townline St
Creston, IA 50801-1054

Mailing address

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091

Other practice location 1

1610 W Townline St
Creston, IA 50801-1066
Phone (641) 782-2131

Other identifiers 2

IdentifierTypeStateIssuer
0601161MedicaidIA
0233718MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040205000926 IA Part B Supplier - Clinic/Group Practice 9234041013 Receives reassigned benefits from 82 practitioners
3 other NPIs on this enrollment
Practice locations: Creston, IA; Osceola, IA; Greenfield, IA
O20070129000225 IA Part A Provider - Critical Access Hospital 9234041013 Receives reassigned benefits from 83 practitioners
Practice locations: Creston, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902805062. Details of each certification follow.

Hospital certification: CCN 161365

Legal name
GREATER REGIONAL MEDICAL CENTER
Doing business as
GREATER REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2004
Last certification
Oct 12, 2016
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
1700 W Townline St
Creston, IA 50801-1054
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Greater Regional Medical CenterCCN 161365 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

700 Davis Ave
Corning, IA 50841
Phone (641) 322-4431

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Sharon Kay McKie Individual Corporate Officer Jan 1, 2011
Corporate Director Jan 1, 1997
Central Iowa Hospital Corporation Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Jul 1, 2017
Kenneth Dawson Stults Individual Corporate Officer Jan 27, 2025
Corporate Director Jan 26, 2015
Thomas L Lesan Individual Corporate Officer Jan 23, 2023
Corporate Director Mar 11, 2010
Matthew L McCutchan Individual Corporate OfficerCfo Nov 25, 2013
W-2 Managing EmployeeCfo Mar 29, 2009
Operational/Managerial ControlCfo Mar 29, 2009
Julie a Lanning Individual Corporate Director Aug 26, 2019
R Jack Davis Individual Corporate Officer Jan 23, 2012
Corporate Director Jan 1, 1995
Matthew Owen Epp Individual W-2 Managing EmployeeChief of Staff Jan 1, 2025
Operational/Managerial ControlChief of Staff Jan 1, 2025
Monte E. Neitzel Individual Corporate OfficerCeo Nov 25, 2013
W-2 Managing EmployeeCeo Aug 4, 2003
Operational/Managerial ControlCeo Aug 4, 2003

Owners & managing parties with NPI records 8

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 94

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 94

Affiliated clinicians 116

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

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1902805062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 W Townline St",
            "address_purpose": "LOCATION",
            "city": "Creston",
            "state": "IA",
            "postal_code": "508011066",
            "country_code": "US",
            "telephone_number": "641-782-2131",
            "fax_number": "641-782-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-782-3899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "880053H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601161",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233718",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

Verify at the official NPI Registry.