Public record

CMS Hospice All Owners

Associate id: 4486563061 · 17 matching records

Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
0446204978
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2004-07-01
First name - owner
COLEEN
Middle name - owner
R
Last name - owner
RUDDY
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
0547508939
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-23
First name - owner
CYNTHIA
Last name - owner
MAGEE
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
1456594969
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-08-22
First name - owner
TERRY
Last name - owner
NAIG
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
2264592633
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-08-27
First name - owner
DAWN
Last name - owner
SCHMIDT
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
3476823501
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-06-23
First name - owner
SARAH
Last name - owner
STROHMAN
Title - owner
AGENCYDIRECTOR
Percentage ownership
100
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
3476823501
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-06-23
First name - owner
SARAH
Last name - owner
STROHMAN
Title - owner
AGENCY DIRECTOR
Percentage ownership
100
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
4486563061
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1993-09-09
Organization name - owner
PALO ALTO COUNTY HOSPITAL
Doing business as name - owner
FAMILY PRACTICE CLINIC EMMETSBURG
Address line 1 - owner
3201 1ST ST
City - owner
EMMETSBURG
State - owner
IA
Zip code - owner
505362516
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
5395986194
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-06-20
First name - owner
COLLETTE
Last name - owner
JOHNSON
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
5395986194
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-06-20
First name - owner
COLLETTE
Last name - owner
JOHNSON
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
5395986194
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-06-20
First name - owner
COLLETTE
Last name - owner
JOHNSON
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9234546268
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-01-27
First name - owner
MELANIE
Last name - owner
FLYNN
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9234562653
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-02-20
First name - owner
RICHARD
Last name - owner
BRENNAN
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9638417025
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-23
First name - owner
JANA
Last name - owner
HARRIS
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9739376492
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-02-01
First name - owner
JONATHAN
Middle name - owner
DEAN
Last name - owner
MOE
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9739376492
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-01
First name - owner
JONATHAN
Middle name - owner
DEAN
Last name - owner
MOE
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9739376492
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-02-01
First name - owner
JONATHAN
Middle name - owner
DEAN
Last name - owner
MOE
Enrollment id
O20050325000482
Associate id
4486563061
Organization name
PALO ALTO COUNTY HOSPITAL
Associate id - owner
9931146792
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-01-02
First name - owner
BURT
Middle name - owner
J.
Last name - owner
HOBART

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