Public record

CMS Hospice All Owners

Associate id: 1052307105 · 5 matching records

Enrollment id
O20120402000581
Associate id
1052307105
Organization name
CITY OF BROOKINGS
Associate id - owner
1052307105
Type - owner
O
Role code - owner
44
Role text - owner
OTHER
Association date - owner
1966-07-01
Organization name - owner
CITY OF BROOKINGS
Doing business as name - owner
BROOKINGS HEALTH SYSTEM
Address line 1 - owner
300 22ND AVE
City - owner
BROOKINGS
State - owner
SD
Zip code - owner
570062480
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENTAL
Enrollment id
O20120402000581
Associate id
1052307105
Organization name
CITY OF BROOKINGS
Associate id - owner
6305008004
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-12-05
First name - owner
JASON
Middle name - owner
R
Last name - owner
MERKLEY
Title - owner
AD;
Enrollment id
O20120402000581
Associate id
1052307105
Organization name
CITY OF BROOKINGS
Associate id - owner
6709106685
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2020-03-17
First name - owner
KELLY
Middle name - owner
M
Last name - owner
EVANS-HULLINGER
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20120402000581
Associate id
1052307105
Organization name
CITY OF BROOKINGS
Associate id - owner
7012243595
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-09-15
First name - owner
MELISSA
Last name - owner
WAGNER
Title - owner
CFO
Enrollment id
O20120402000581
Associate id
1052307105
Organization name
CITY OF BROOKINGS
Associate id - owner
7012243595
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-09-15
First name - owner
MELISSA
Last name - owner
WAGNER

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