Public record

CMS Hospice All Owners

Associate id: 9133038706 · 14 matching records

Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0143570630
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1999-08-01
First name - owner
LEANN
Last name - owner
WOODMAN
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0143570630
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1999-08-01
First name - owner
LEANN
Last name - owner
WOODMAN
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
0446560296
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-03-14
First name - owner
SIAVASH
Middle name - owner
DAVID
Last name - owner
SHAHBODAGHI
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
1658795703
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-01
First name - owner
LAURA
Last name - owner
RUSBULT
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
2961752456
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-03-22
First name - owner
DONALD
Last name - owner
BENSON
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
3779958178
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-02-21
First name - owner
CHRISTOPHER
Last name - owner
WIENS
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
3870843360
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-08-23
First name - owner
NANCY
Last name - owner
JENSEN
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
5193122265
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-04-01
First name - owner
KAREN
Last name - owner
KURK
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
5193122265
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-04-01
First name - owner
KAREN
Last name - owner
KURK
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
5597007898
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-08-21
First name - owner
KODY
Last name - owner
NELSON
Title - owner
CEO
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
5597007898
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-08-21
First name - owner
KODY
Last name - owner
NELSON
Title - owner
CEO
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
7113185547
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-03-01
First name - owner
MYRNETTE
Last name - owner
MILLER
Title - owner
BOARD ROOM
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
8426467804
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-16
First name - owner
CORY
Last name - owner
SAMPSEN
Enrollment id
O20030218000013
Associate id
9133038706
Organization name
SHERIDAN MEMORIAL HOSPITAL ASSOCIATION
Associate id - owner
9335558717
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-16
First name - owner
PAUL
Last name - owner
HANSEN

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list