Organization Active NPI

Dallas County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Perry, IA
National Provider Identifier
1992730857
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
250157H Issued in IA
Legal business name
DALLAS COUNTY HOSPITAL
Practice address
610 10TH St
Perry, IA 50220-2221
Phone
(515) 465-3547
Fax
(515) 465-2922
NPI assigned
Jul 11, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Kevin Leininger
Title
Cfo
Phone
(515) 465-3547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 250157H IA Primary

Addresses

Primary practice location

610 10TH St
Perry, IA 50220-2221

Mailing address

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-3547

Other identifiers 1

IdentifierTypeStateIssuer
0655795MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000611 IA Part A Provider - Critical Access Hospital 9931094257 Practice locations: Perry, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992730857. Details of each certification follow.

Hospital certification: CCN 16Z322

Legal name
DALLAS COUNTY HOSPITAL
Doing business as
DALLAS COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
610 10TH St
Perry, IA 50220-2221
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
David M Brennan DO5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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
Joseph E Shelly Individual Corporate Director Jun 23, 2022
Eric Mitchell Ash Individual W-2 Managing EmployeeMD; Oct 1, 2019
Patrick L Steele Individual Corporate Director Aug 25, 2022
Angela M Mortoza Individual Contracted Managing EmployeeCeo Mar 1, 2016 100%
Corporate OfficerCeo Mar 15, 2016 100%
Kari Boyens Individual Corporate Director Feb 24, 2026
Mary Laborde Individual Corporate Director Jan 23, 2020
Kevin Leininger Individual Corporate OfficerCfo Oct 5, 2023
Dirk Cavanaugh Individual Corporate Director Jan 22, 2026
Jeff Jarding Individual Corporate OfficerCoo Jan 12, 2026
Dennis Cochran Individual Corporate Director Jan 27, 2022
Joelle Sue Miner Individual Corporate Director Jan 22, 2026

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1992730857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3547",
            "fax_number": "515-465-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3547",
            "fax_number": "515-465-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "LEININGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-465-3547"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "250157H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655795",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.