NPIMap

Organization Active NPI

St Luke's Jones Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Anamosa, IA
National Provider Identifier
1962594549
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
530110H Issued in IA
Legal business name
ST LUKE'S JONES REGIONAL MEDICAL CENTER
Practice address
1795 Highway 64 E
Anamosa, IA 52205-2112
Phone
(319) 462-6131
Fax
(319) 481-6332
NPI assigned
Sep 29, 2006
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKE'S JONES REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Mr. Eric Briesemeister
Title
Ceo
Phone
(319) 462-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 530110H IA Primary

Addresses

Primary practice location

1795 Highway 64 E
Anamosa, IA 52205-2112

Mailing address

1795 Highway 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000362 IA Part A Provider - Critical Access Hospital 4688572811 Practice locations: Anamosa, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962594549. Details of each certification follow.

Hospital certification: CCN 16Z306

Legal name
ST LUKES JONES REGIONAL MEDICAL CENTER
Doing business as
JONES REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1998 in IA
Enrollment address
1795 Highway 64 East
Anamosa, IA 52205-2112
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Jones Regional Emergenc9 organizations share this tax ID, including this one
Part of
Jones Regional Emergenc

Other organizations with this tax ID 8

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

Locations

104 Broadway Pl
Anamosa, IA 52205
Phone (319) 462-5817

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Casey S Greene Individual Corporate DirectorDirector Nov 1, 2023
Philip Lee Hanna Individual Corporate DirectorDirector Feb 7, 2022
Aimee Hospodarsky Individual Corporate DirectorDirector Feb 6, 2023
Shaun Lambertsen Individual Corporate DirectorDirector Jan 1, 2025
St Lukes Jones Regional Medical Center Organization, Cedar Rapids, IA Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2007 5%
Operational/Managerial Control Oct 3, 2007
Rachel a Vonbehren Individual Corporate Director Oct 1, 2007
W-2 Managing Employee Oct 1, 2007
Eric G Briesemeister Individual Contracted Managing Employee Oct 5, 2009
Corporate Director Oct 5, 2009
Operational/Managerial Control Oct 5, 2009
Iowa Health System Organization, West Des Moines, IA Corporation Operational/Managerial Control Jan 1, 1995
Lucas N Hicks Individual Corporate DirectorDirector Nov 1, 2023
St Luke's Healthcare Organization, Cedar Rapids, IA Corporation Operational/Managerial Control Oct 22, 1998
Angela M Greif Individual Contracted Managing EmployeeChief Medical Officer Nov 24, 2020
Operational/Managerial ControlChief Medical Officer Nov 24, 2020
Janine Sulzner Individual Corporate DirectorDirector Feb 6, 2023
David Kehoe Individual Corporate Director Jun 2, 2020

Owners & managing parties with NPI records 11

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

Facilities with the same owner 75

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

View all 75

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1962594549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "BRIESEMEISTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-462-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "530110H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anamosa, IA

Sources for this page

Verify at the official NPI Registry.