NPIMap

Organization Active NPI

Story County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Nevada, IA
National Provider Identifier
1922335322
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
850174H Issued in IA
Legal business name
STORY COUNTY HOSPITAL
Practice address
640 S 19TH St
Nevada, IA 50201-2902
Phone
(515) 382-2111
Fax
(515) 382-7760
NPI assigned
Nov 6, 2009
Last updated
Jan 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Mrs. Jane Ramthum
Title
Cfo
Phone
(515) 382-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 850174H IA Primary

Addresses

Primary practice location

640 S 19TH St
Nevada, IA 50201-2902

Mailing address

640 S 19TH St
Nevada, IA 50201-2902
Phone (515) 382-2111

Other identifiers 1

IdentifierTypeStateIssuer
66088OtherIABLUE CROSS/BLUE SHIELD OF IOWA

Other names 1

  • Story County Medical Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000564 IA Part A Provider - Critical Access Hospital 0547153884 1 other NPI on this enrollment
Practice locations: Nevada, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922335322. Details of each certification follow.

Hospital certification: CCN 16Z333

Legal name
STORY COUNTY HOSPITAL
Doing business as
STORY COUNTY MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
640 S 19TH St
Nevada, IA 50201-2902

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 1

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

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Emergency Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Gaylan G Scofield Individual Corporate Director Jan 1, 2004
Central Iowa Hospital Corporation Organization, Des Moines, IA Corporation, Non-profit Operational/Managerial Control Feb 1, 2013
Patrick J Sheets Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2007
David F Anderson Individual Corporate Director Dec 13, 1990
Arthur P Check Individual W-2 Managing EmployeeMedical Director Jun 1, 2005
Operational/Managerial ControlMedical Director Jun 1, 2005
Pamela E Cain Individual Corporate Officer Jan 1, 2024
Corporate Director Jan 3, 2023
Jane D Ramthun Individual Corporate OfficerCfo May 24, 2020
W-2 Managing EmployeeCfo Sep 29, 2008
Operational/Managerial ControlCfo Sep 29, 2008
Elizabeth G Hertz Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2007
Nathan D Thompson Individual Contracted Managing EmployeeCeo Sep 12, 2015
Corporate OfficerCeo Aug 9, 2016
Operational/Managerial ControlCeo Sep 12, 2015
Tiffany B Thompson Individual Corporate Director Jan 3, 2023
Michelle L Fullerton Individual Corporate Director Apr 3, 2025

Owners & managing parties with NPI records 7

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

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1922335322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012902",
            "telephone_number": "515-382-2111",
            "fax_number": "515-382-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012902",
            "telephone_number": "515-382-2111",
            "fax_number": "515-382-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "RAMTHUM",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-382-7705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "850174H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF IOWA",
            "identifier": "66088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Story County Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada, IA

Sources for this page

Verify at the official NPI Registry.