St Luke'S Jones Regional Medical Center
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Anamosa, IA
NPI 1962594549 · NPPES record last updated Jan 16, 2018
Key facts
- NPI
- 1962594549
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 530110H (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
- Organization subpart
- Yes
- Parent organization (as reported)
- ST LUKE'S JONES REGIONAL MEDICAL CENTER
Authorized official
- Name
- Mr. Eric Briesemeister
- Title
- Ceo
- Phone
- (319) 462-6131
Owners & managing parties with NPI records 11
-
Angela M Greif, MD
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Facilities with the same owner 75
Practitioners 27
-
E Keith Allen, PAC
-
Emilly Mikal Brodeur, ARNP
-
Luke C Brunner, MD
-
Amber Nicole Green, ARNP
-
John Hart, M.D.
-
Richard M Hodge, MD
-
Brady W Hunt, PA
-
Gregory Michael Janda, M.D.
-
Kirk W Kilburg, MD
-
Katlin Klein, DNP, FNP-BC, ARNP
-
Linda A Oberbroeckling, ARNP
-
Peter Donnan Pardubsky, M.D.
-
Nicole Ann Payne, NP
-
Katelyn Price, DNP-FNP-BC
-
Alissa A Schepanski, PAC
-
Kayla Marie Shelton, DNP, ARNP, FNP-C
-
Melinda Silver, ARNP
-
Katelyn Swartz, PA-C
-
Jason C Todd, PA-C
Affiliated clinicians 4
-
Angela M Greif, MD
-
Katie R Hasler, ARNP
-
Sana Iqbal, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 16Z306
- Legal name
- ST LUKES JONES REGIONAL MEDICAL CENTER
- Doing business as
- JONES REGIONAL MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 22, 1998 in IA
- Enrollment address
- 1795 Highway 64 East
Anamosa, IA 52205-2112
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Casey S Greene |
Corporate Director |
Nov 1, 2023 | |
| Philip Lee Hanna |
Corporate Director |
Feb 7, 2022 | |
| Aimee Hospodarsky |
Corporate Director |
Feb 6, 2023 | |
| Shaun Lambertsen |
Corporate Director |
Jan 1, 2025 | |
| St Lukes Jones Regional Medical Center |
5% Or Greater Direct Ownership Interest | Oct 1, 2007 | 5% |
| Operational/Managerial Control | Oct 3, 2007 | ||
| Rachel a Vonbehren |
Corporate Director | Oct 1, 2007 | |
| W-2 Managing Employee | Oct 1, 2007 | ||
| Eric G Briesemeister |
Contracted Managing Employee | Oct 5, 2009 | |
| Corporate Director | Oct 5, 2009 | ||
| Operational/Managerial Control | Oct 5, 2009 | ||
| Iowa Health System |
Operational/Managerial Control | Jan 1, 1995 | |
| Lucas N Hicks |
Corporate Director |
Nov 1, 2023 | |
| St Luke'S Healthcare |
Operational/Managerial Control | Oct 22, 1998 | |
| Angela M Greif |
Contracted Managing Employee |
Nov 24, 2020 | |
| Operational/Managerial Control |
Nov 24, 2020 | ||
| Janine Sulzner |
Corporate Director |
Feb 6, 2023 | |
| David Kehoe |
Corporate Director | Jun 2, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071106000362 | IA | Part a Provider - Critical Access Hospital | 4688572811 | Practice locations: Anamosa, IA |
National Provider Directory
- Tax ID family
- St Lukes Jones Reg Med CNTR
- Part of
- St Lukes Jones Reg Med CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 530110H | IA | Yes |
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
Other providers in Anamosa, IA
- Roman Christopher Somogy
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St. Luke'S Jones Regional Medical Center
- Brooke Stammeyer
- Jacqueline Rae Sutherland
- Lawrence A. Taylor
All providers in Anamosa, 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 Jan 16, 2018. 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.