Lucas County Health Center
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Chariton, IA
NPI 1912970401 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1912970401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 16Z341 (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
- Organization subpart
- No
Authorized official
- Name
- Lori Johnson
- Title
- Chief Operations Officer
- Phone
- (641) 774-3360
Owners & managing parties with NPI records 9
-
Kenneth R Anderson, D.O.
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 9
Related certifications (CCN) 1
Facilities with the same owner 22
Practitioners 35
-
Heather Lynn Worth, ARNP
-
Lindsey Ranae Aeschliman, ARNP
-
Greg D Cohen, D.O.
-
Michelle Joyce Fischer-Short, ARNP, FNP-BC
-
Casey A Fitz, ARNP
-
Miranda Millie Gebhart, NP-C
-
Abigail Faye Hamilton, ARNP
-
Peter Kenneth Hoftiezer, D.O.
-
Zachary Johnson, MD
-
Thomas Gerard Klein, D.O.
-
Allison Krutsinger, PAC
-
Christopher J Osier, PA-C
-
Amy Marie Poncelow, PA-C
-
Sharon Debora Squibb, CNM
-
Cameron Ryan Storm, FNP-C
-
Kayla June Wallace, NP-C, ARNP
-
Eric Paul Muhm, D.P.M.
-
Kenneth R Anderson, D.O.
-
Kelli Larson, APRN
-
Dale Lee Lensing, M.D.
-
Giselle Mery, M.D.
-
Jessica Leigh Ogden, ARNP
-
Matthew Schulte, PA-C
Affiliated clinicians 3
-
Michelle Joyce Fischer-Short, ARNP, FNP-BC
-
Miranda Millie Gebhart, NP-C
-
Heather Lynn Worth, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 16Z341
- Legal name
- LUCAS COUNTY HEALTH CENTER
- Doing business as
- LUCAS COUNTY HEALTH CENTER
- Organization structure
- Other · Non-profit
- Enrollment address
- 1200 N 7TH St
Chariton, IA 50049-1210
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Michael R Miller |
Corporate Director |
Jan 1, 2013 | |
| Jay W Christensen |
Contracted Managing Employee |
Sep 5, 2020 | |
| Corporate Officer |
Sep 5, 2020 | ||
| Central Iowa Hospital Corporation |
Operational/Managerial Control | Sep 1, 2015 | |
| Lisa Junkman |
Corporate Director |
Jan 1, 2015 | |
| Natalie J McGee |
Corporate Director | Nov 28, 2007 | |
| Lana Kuball |
Corporate Director | Jan 1, 2023 | |
| Lori Johnson |
Corporate Officer |
May 31, 2015 | |
| W-2 Managing Employee |
May 31, 2015 | ||
| Joni Renae Hannon |
Corporate Officer |
Oct 23, 2023 | |
| W-2 Managing Employee |
Oct 23, 2023 | ||
| Sheila M Laing |
Corporate Director | Jan 1, 2023 | |
| Amanda Brooke Schroeder |
Corporate Director |
Feb 25, 2025 | |
| Randy L Westman |
Corporate Director | Jan 1, 2009 | |
| Lucas County Health Center |
5% Or Greater Direct Ownership Interest | Oct 14, 2013 | 100% |
| David Stark |
Other |
Jul 1, 2018 | |
| Amy a McCurdy |
Corporate Officer |
May 31, 2015 | |
| W-2 Managing Employee |
May 31, 2015 | ||
| Kenneth R Anderson |
Corporate Officer |
May 31, 2015 | |
| W-2 Managing Employee |
May 31, 2015 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Lucas County Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 14, 2013 |
| Lucas County Health Center Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070130000604 | IA | Part a Provider - Critical Access Hospital | 8921916792 | Practice locations: Chariton, IA |
National Provider Directory
- Tax ID family
- Lucas County Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 16Z341 | IA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0655431 | Medicaid | IA |
Other providers in Chariton, IA
- Lucas County Health Center
- Lucas County Health Center
- Lucas County Health Center
- Lucas County Health Center
- Lucas County Health Center
- Lucas County Heatlh Center
- David Harold Marcowitz
- Carie Mae Masters
- Phillip Ross Masters
- Michael McNaughton
All providers in Chariton, IA · Medicare Defined Swing Bed Hospital Unit in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.