Public record

CMS Home Health Agency All Owners

Associate id: 3476464538 · 7 matching records

Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
2567373624
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-06-25
First name - owner
NANCY
Middle name - owner
E
Last name - owner
GEORGE
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
4981934056
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-10-01
First name - owner
PATRICIA
Last name - owner
LEEDS
Title - owner
PRESIDENT
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
7113903691
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-09-01
First name - owner
RUTH
Last name - owner
DULING
Title - owner
CEO
Percentage ownership
25
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
7113903691
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-09-01
First name - owner
RUTH
Last name - owner
DULING
Title - owner
CEO
Percentage ownership
25
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
7113903691
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-09-01
First name - owner
RUTH
Last name - owner
DULING
Title - owner
CEO
Percentage ownership
25
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
7517063308
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2007-01-02
First name - owner
HOLLY
Middle name - owner
A
Last name - owner
KOCH
Enrollment id
O20040625000436
Associate id
3476464538
Organization name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Associate id - owner
9931267762
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-05-01
First name - owner
GLEN
Last name - owner
MATHIS
Title - owner
BOARD MEMBER

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