Public record

CMS Hospice All Owners

Associate id: 4385551258 · 8 matching records

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 0749258564
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2018-09-01
First name - owner: MICHELLE
Last name - owner: FOX

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 2961461918
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2022-02-17
First name - owner: MICHAEL
Last name - owner: TILSTRA

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 3971632290
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-02-01
First name - owner: DANIEL
Last name - owner: TINCHER

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 6507128667
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2021-12-28
First name - owner: SARA
Middle name - owner: J
Last name - owner: MIKUTA

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 8022918713
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-02-01
First name - owner: PHILIP
Last name - owner: ZUMWALT

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 8426271669
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2014-02-01
First name - owner: RHONDA
Last name - owner: PENCE
Title - owner: BOARD CHAIR

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 9032650783
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2023-09-01
First name - owner: MITCHELL
Last name - owner: HAAS

Enrollment id: O20040920000977
Associate id: 4385551258
Organization name: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner: 9436324258
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2010-09-28
First name - owner: ROGER
Last name - owner: DITTRICH

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