Public record

CMS Hospice All Owners

Associate id: 6507769247 · 11 matching records

Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
1052760352
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-12-30
First name - owner
ERIC
Last name - owner
ADELMUND
Percentage ownership
0
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
1355435850
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-02-05
First name - owner
MARY
Middle name - owner
M
Last name - owner
KITCHELL
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
1951833250
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2012-04-08
First name - owner
AMBER
Last name - owner
DEARDORFF
Title - owner
CEO
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
1951833250
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2009-03-01
First name - owner
AMBER
Last name - owner
DEARDORFF
Percentage ownership
0
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
3375637945
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2003-07-23
Organization name - owner
CITY OF AMES IOWA
Doing business as name - owner
CITY OF AMES IOWA
Address line 1 - owner
515 CLARK AVE
City - owner
AMES
State - owner
IA
Zip code - owner
500106122
Percentage ownership
5
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
5092197160
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-02-13
First name - owner
CARLA
Middle name - owner
J
Last name - owner
WICKMAN
Percentage ownership
50
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
5092197160
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-02-13
First name - owner
CARLA
Middle name - owner
J
Last name - owner
WICKMAN
Percentage ownership
50
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
6901312073
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
NATALLIA
Last name - owner
GRAY
Percentage ownership
0
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
7810081486
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-02-05
First name - owner
SARAH
Middle name - owner
B
Last name - owner
BUCK
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
8527152024
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-02-05
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
MCCUSKEY
Enrollment id
O20080303000181
Associate id
6507769247
Organization name
MARY GREELEY MEDICAL CENTER
Associate id - owner
9830458520
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-01-01
First name - owner
MARY BETH
Last name - owner
SWANSON

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