Public record

CMS Hospice All Owners

Associate id: 1951375849 · 14 matching records

Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0345214235
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1992-02-01
First name - owner
KELLEY
Middle name - owner
M
Last name - owner
EVANS
Title - owner
CEO
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0345214235
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1992-02-01
First name - owner
KELLEY
Middle name - owner
M
Last name - owner
EVANS
Title - owner
CEO
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0345214235
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1993-04-01
First name - owner
KELLEY
Middle name - owner
M
Last name - owner
EVANS
Title - owner
CEO
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
2062675366
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-05-01
First name - owner
SARAH
Last name - owner
EWALD
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
3971766270
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-05-01
First name - owner
RICHARD
Last name - owner
FELLOWS
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
4688648587
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2002-05-01
First name - owner
STEVEN
Middle name - owner
J
Last name - owner
MUTH
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
6406107739
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
RANDY
Last name - owner
DRAGON
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
6507999570
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1998-09-15
First name - owner
SHARON
Last name - owner
NORBY
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
7214288547
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
KELLY
Last name - owner
HEATON
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
7517120819
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-05-01
First name - owner
EDMUND
Middle name - owner
JAMES
Last name - owner
DUNCAN
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
7517279367
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
GEORGE
Last name - owner
CLOW
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
7517944382
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
GUY
Middle name - owner
R
Last name - owner
SCHMIDT
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
8123379450
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
STEVE
Last name - owner
SMITH
Title - owner
BOARD MEMBER
Enrollment id
O20051229000782
Associate id
1951375849
Organization name
MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
9133252109
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-12-08
First name - owner
BRANDI
Last name - owner
MAINS

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