NPIMap

Organization Active NPI

Lucas County Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Chariton, IA
National Provider Identifier
1912970401
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
16Z341 Issued in IA
Legal business name
LUCAS COUNTY HEALTH CENTER
Practice address
1200 N 7TH St
Chariton, IA 50049-1210
Phone
(641) 774-3000
Fax
(641) 774-3207
NPI assigned
Feb 7, 2006
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Lori Johnson
Title
Chief Operations Officer
Phone
(641) 774-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 16Z341 IA Primary

Addresses

Primary practice location

1200 N 7TH St
Chariton, IA 50049-1210

Mailing address

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000604 IA Part A Provider - Critical Access Hospital 8921916792 Practice locations: Chariton, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912970401. Details of each certification follow.

Hospital certification: CCN 16Z341

Legal name
LUCAS COUNTY HEALTH CENTER
Doing business as
LUCAS COUNTY HEALTH CENTER
Organization structure
OtherNon-profit
Enrollment address
1200 N 7TH St
Chariton, IA 50049-1210
Other Hospital Practice 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
Lucas County Health Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Michael R Miller Individual Corporate DirectorBoard of Trustee Member Jan 1, 2013
Jay W Christensen Individual Contracted Managing EmployeeCeo/Cfo Sep 5, 2020
Corporate OfficerCeo/Cfo Sep 5, 2020
Central Iowa Hospital Corporation Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Sep 1, 2015
Lisa Junkman Individual Corporate DirectorBoard of Trustee Member Jan 1, 2015
Natalie J McGee Individual Corporate Director Nov 28, 2007
Lana Kuball Individual Corporate Director Jan 1, 2023
Lori Johnson Individual Corporate OfficerChief Operating Officer May 31, 2015
W-2 Managing EmployeeChief Operating Officer May 31, 2015
Joni Renae Hannon Individual Corporate OfficerChief Nursing Officer Oct 23, 2023
W-2 Managing EmployeeChief Nursing Officer Oct 23, 2023
Sheila M Laing Individual Corporate Director Jan 1, 2023
Amanda Brooke Schroeder Individual Corporate DirectorTrustee Feb 25, 2025
Randy L Westman Individual Corporate Director Jan 1, 2009
Lucas County Health Center Organization, Chariton, IA 5% Or Greater Direct Ownership Interest Oct 14, 2013 100%
David Stark Individual OtherCeo Jul 1, 2018
Amy a McCurdy Individual Corporate OfficerChief Clinical Officer May 31, 2015
W-2 Managing EmployeeChief Clinical Officer May 31, 2015
Kenneth R Anderson Individual Corporate OfficerChief Medical Officer May 31, 2015
W-2 Managing EmployeeChief Medical Officer May 31, 2015

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Lucas County Health CenterChariton, IA, CCN 161341 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 14, 2013
Lucas County Health Center Medical ClinicChariton, IA, CCN 168560 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2013

Owned or controlled facilities with NPI records 2

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

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 1

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.

Affiliated clinicians 3

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": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1912970401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-3000",
            "fax_number": "641-774-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-3000",
            "fax_number": "641-774-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "641-774-3360"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "16Z341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

Verify at the official NPI Registry.