NPIMap

Organization Active NPI

Guttenberg Municipal Hospital

  • Critical Access Hospital
  • Guttenberg, IA
National Provider Identifier
1932139359
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
220134H Issued in IA
Legal business name
GUTTENBERG MUNICIPAL HOSPITAL
Practice address
200 Main St
Guttenberg, IA 52052
Phone
(563) 252-1121
Fax
(563) 252-5547
NPI assigned
Jul 3, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Susan Stagman, RHIT
Title
Credentialing Specialist
Phone
(563) 252-1121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 220134H IA Primary
Ambulance 341600000X

Addresses

Primary practice location

200 Main St
Guttenberg, IA 52052

Mailing address

PO Box 550
Guttenberg, IA 52052-0550
Phone (563) 252-1121

Other identifiers 5

IdentifierTypeStateIssuer
H229561OtherIAMIDLANDS CHOICE
60097OtherIAWELLMARK
0117234MedicaidIA
80555500MedicaidWI
0600973MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000673 IA Part A Provider - Critical Access Hospital 6901709476 Receives reassigned benefits from 27 practitioners
Practice locations: Guttenberg, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932139359. Details of each certification follow.

Hospital certification: CCN 161312

Legal name
GUTTENBERG MUNICIPAL HOSPITAL
Doing business as
GUTTENBERG MUNICIPAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Jan 29, 2025
Beds
25
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
200 Main St
Guttenberg, IA 52052-9108
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Guttenberg Municipal HospitalCCN 161312 · All quality measures
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
Tax ID family
Guttenberg Mun Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
City of Guttenberg Organization, Guttenberg, IA 5% Or Greater Direct Ownership Interest Jan 3, 1966 100%
Janice Lee Andregg Individual Corporate Officer Jan 1, 2016 20%
Robin S Esmann Individual W-2 Managing EmployeeManager Oct 17, 1999
Timothy J Ahlers Individual Contracted Managing EmployeeCeo Apr 22, 2019
Corporate OfficerCeo Apr 22, 2019
Stephanie Radabaugh Individual Corporate Officer Jan 1, 2022
Jill M Knepper Individual W-2 Managing EmployeeFinance Manager Jan 3, 2017
William L Allyn Individual Corporate OfficerBoard Trustee Jan 1, 2012 20%
Mercy Health Network Inc Organization, West Des Moines, IA Non-profit Operational/Managerial Control Oct 1, 2017
Austin Coon Individual Corporate Officer Oct 1, 2022
Susan a Osterhaus Individual Corporate Officer Jan 1, 2014 20%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Cornerstone Family PracticeGuttenberg, IA, CCN 168552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2012
Dec 1, 2012
Cornerstone Family PracticeEdgewood, IA, CCN 168553 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2012
Dec 1, 2012
Cornerstone Family PracticeGarnavillo, IA, CCN 168550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2012
Dec 1, 2012

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 98

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

View all 98

Practitioners & affiliated clinicians

Practitioners 30

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 30

Affiliated clinicians 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1932139359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520520550",
            "telephone_number": "563-252-1121",
            "fax_number": "563-252-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "52052",
            "telephone_number": "563-252-1121",
            "fax_number": "563-252-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTENBERG MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STAGMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "563-252-1121",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "220134H",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "H229561",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "60097",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117234",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80555500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600973",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, IA

Sources for this page

Verify at the official NPI Registry.