NPIMap

Organization Active NPI

Ringgold County Hospital

Doing business as Mount Ayr Medical Clinic

  • Critical Access Hospital Clinic/Center
  • Mount Ayr, IA
National Provider Identifier
1992854434
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
800167H Issued in IA
Legal business name
RINGGOLD COUNTY HOSPITAL
Doing business as
Mount Ayr Medical Clinic
Practice address
504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Phone
(641) 464-3226
Fax
(641) 464-4420
NPI assigned
Jan 10, 2007
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
RINGGOLD COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mrs. Teresa Ann Roberts
Title
Cfo
Phone
(641) 464-3226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 800167H IA Primary

Addresses

Primary practice location

504 N. Cleveland St.
Mount Ayr, IA 50854-2201

Mailing address

504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Phone (641) 464-3226

Other names 1

  • Mount Ayr Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000414 IA Part B Supplier - Clinic/Group Practice 7315849973 Receives reassigned benefits from 35 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Ayr, IA
O20070116000516 IA Part A Provider - Critical Access Hospital 7315849973 Receives reassigned benefits from 35 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Ayr, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992854434. Details of each certification follow.

Hospital certification: CCN 161373

Legal name
RINGGOLD COUNTY HOSPITAL
Doing business as
RINGGOLD COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2005
Last certification
Feb 26, 2025
Beds
25
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
504 N Cleveland St
Mount Ayr, IA 50854-2201

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ringgold County HospitalCCN 161373 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Spectrum Emergency Care

Locations

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

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
Karleen a Stephens Individual Corporate Director Jan 17, 2011
Christopher J Elwood Individual Corporate Director Jan 23, 2023
Melissa D Walter Individual Corporate OfficerCfo Jan 1, 2019
W-2 Managing EmployeeCfo Jan 1, 2019
Operational/Managerial ControlCfo Jan 1, 2019
Edward R Daily Individual Corporate Director Sep 16, 2019
Contessa R Barnes Individual Corporate Officer Jan 23, 2023
Corporate Director Jan 19, 2015
Mercy Health Network Inc Organization, Clive, IA Corporation, Management services company, Non-profit Operational/Managerial Control Nov 1, 2012
Greg a Jobe Individual Corporate Director Jan 19, 2009
Kathleen Q Willcox Individual W-2 Managing EmployeeChief of Staff Dec 13, 2021
Operational/Managerial ControlChief of Staff Dec 13, 2021
Michael L Hopkins Individual Corporate Officer Jan 19, 2015
Corporate Director Jan 21, 2013
Nicholle Gilbertson Individual Contracted Managing EmployeeCeo Apr 3, 2023
Corporate OfficerCeo Apr 3, 2023
Operational/Managerial ControlCeo Apr 3, 2023
Kimberly a Bishop Individual Corporate Officer Jan 23, 2023
Corporate Director Jul 25, 2022

Owners & managing parties with NPI records 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1992854434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N. CLEVELAND ST.",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542201",
            "telephone_number": "641-464-3226",
            "fax_number": "641-464-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N. CLEVELAND ST.",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542201",
            "telephone_number": "641-464-3226",
            "fax_number": "641-464-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINGGOLD COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RINGGOLD COUNTY HOSPITAL",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-464-3226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "IA",
            "license": "800167H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Ayr Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Ayr, IA

Sources for this page

Verify at the official NPI Registry.