NPIMap

Organization Active NPI

Hermann Area Hospital District

Doing business as Hermann Area District Hospital

  • Critical Access Hospital
  • Hermann, MO
National Provider Identifier
1962578609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HERMANN AREA HOSPITAL DISTRICT
Doing business as
Hermann Area District Hospital
Practice address
509 West 18TH St
Hermann, MO 65041
Phone
(573) 486-2191
Fax
(573) 486-3743
NPI assigned
Nov 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan McKinney
Title
Administrator
Phone
(573) 486-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X MO Primary

Addresses

Primary practice location

509 West 18TH St
Hermann, MO 65041

Mailing address

PO Box 470
Hermann, MO 65041-0470
Phone (573) 486-2191

Other identifiers 6

IdentifierTypeStateIssuer
45827OtherMOGROUP HEALTH PLAN
107603OtherMOHEALTHLINK
261314OtherMOMERCY
77OtherMOBLUE CROSS
8175OtherMOHEALTHCARE USA
UNITED HEALTHCAREOtherMO5020050

Other names 1

  • Hermann Area District Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000129 MO Part A Provider - Critical Access Hospital 5496669962 Receives reassigned benefits from 2 practitioners
Practice locations: Hermann, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962578609. Details of each certification follow.

Hospital certification: CCN 261314

Legal name
HERMANN AREA HOSPITAL DISTRICT
Doing business as
HERMANN AREA DISTRICT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2003
Last certification
Jul 26, 2023
Beds
24
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
509 West 18TH Street
Box 470
Hermann, MO 65041-1547
Other Hospital Practice 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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hermann Area District HospitalCCN 261314 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Associated Medical Arts9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Melissa M Lensing Individual Corporate DirectorBoard Member Dec 19, 2022
William S Hellebusch Individual Contracted Managing EmployeeAdministrator Jun 1, 2023
Steven M Strubberg Individual Corporate DirectorBoard Member Mar 26, 2018
Hermann Area Hospital District Organization, Herman, MO 5% Or Greater Direct Ownership Interest Jun 14, 1967 100%
Operational/Managerial Control Jan 1, 1966 100%
David Johnson Individual Corporate DirectorBoard Member Jul 25, 2022
Karin P Wolking Individual Corporate DirectorBoard Treasurer Jul 6, 2014
Ellen R Schaumberg Individual W-2 Managing EmployeeDirect of Clinic Support Apr 1, 2015 20%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hermann Area District HospitalHermann, MO, CCN 26Z314 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 14, 1967
Jan 1, 1966

Owned or controlled facilities with NPI records 1

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

  • Hermann Area Hospital District

    dba Hermann Area District Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Hermann, MO
    • NPI 1679648661

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 3

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962578609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650410470",
            "telephone_number": "573-486-2191",
            "fax_number": "573-486-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WEST 18TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "65041",
            "telephone_number": "573-486-2191",
            "fax_number": "573-486-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMANN AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-486-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "45827",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "107603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "261314",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "77",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "8175",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5020050",
            "identifier": "UNITED HEALTHCARE",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermann Area District Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermann, MO

Sources for this page

Verify at the official NPI Registry.