Public record

CMS Hospital All Owners

Associate id: 1153777826 · 40 matching records

Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0143676817
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
GARY
Last name - owner
SCHUMER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0547434748
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
DANIEL
Middle name - owner
S
Last name - owner
ECKENFELS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0749409340
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
GREGORY
Last name - owner
UNGER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1052767720
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
ROBIN
Last name - owner
SIMMS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1557685591
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
SANDEEP
Middle name - owner
C
Last name - owner
RAO
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1759675929
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-01
First name - owner
CHRISTOPHER
Last name - owner
WIBBENMEYER
Title - owner
PRESIDENT
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1759675929
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-01
First name - owner
CHRISTOPHER
Last name - owner
WIBBENMEYER
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1951494871
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
MATTHEW
Middle name - owner
D
Last name - owner
GAETA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
2365449980
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-10-01
First name - owner
CHERYL
Middle name - owner
L
Last name - owner
MATEJKA
Title - owner
SVP-CFO
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
3274920723
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
LINDA
Last name - owner
BUERCK
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
4587096920
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-01
First name - owner
CHRISTIE
Last name - owner
ECKHARDT
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
5890108963
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-01
First name - owner
STACIE
Last name - owner
FARNAM
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
5991613077
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-10-01
Organization name - owner
MERCY HEALTH
Doing business as name - owner
MERCY HEALTH
Address line 1 - owner
14528 S OUTER 40 RD
Address line 2 - owner
STE 100
City - owner
CHESTERFIELD
State - owner
MO
Zip code - owner
630175743
Percentage ownership
100
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
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
6608222377
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
CRAIG
Last name - owner
HAYDEN
Title - owner
CHAIRMAN
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
7416303185
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
RYAN
Middle name - owner
E
Last name - owner
JOHNSTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
7719374263
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
KAY
Last name - owner
TAYLOR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
8224932991
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-10-01
Organization name - owner
MERCY HEALTH EAST COMMUNITIES
Doing business as name - owner
MERCY HEALTH EAST COMMUNITIES
Address line 1 - owner
645 MARYVILLE CENTRE DR
Address line 2 - owner
STE 100
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631415846
Percentage ownership
100
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
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
8325494099
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
PATRICK
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
9133238033
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
PATRICK
Last name - owner
NAEGER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231102002823
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
9335280635
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-01
First name - owner
SHERRY
Last name - owner
CLOUSE DAY
Title - owner
TREASURER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0143676817
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
GARY
Last name - owner
SCHUMER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0547434748
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
DANIEL
Middle name - owner
S
Last name - owner
ECKENFELS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0547791287
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-01
First name - owner
JAMIE
Last name - owner
WILKE
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
0749409340
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
GREGORY
Last name - owner
UNGER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1052767720
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
ROBIN
Last name - owner
SIMMS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1557685591
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
SANDEEP
Middle name - owner
C
Last name - owner
RAO
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1759675929
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-01
First name - owner
CHRISTOPHER
Last name - owner
WIBBENMEYER
Title - owner
PRESIDENT
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1759675929
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-01
First name - owner
CHRISTOPHER
Last name - owner
WIBBENMEYER
Title - owner
PRESIDENT
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
1951494871
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
MATTHEW
Middle name - owner
D
Last name - owner
GAETA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
3274920723
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
LINDA
Last name - owner
BUERCK
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
5890108963
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-01
First name - owner
STACIE
Last name - owner
FARNAM
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
5991613077
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-10-01
Organization name - owner
MERCY HEALTH
Doing business as name - owner
MERCY HEALTH
Address line 1 - owner
14528 S OUTER 40 RD
Address line 2 - owner
STE 100
City - owner
CHESTERFIELD
State - owner
MO
Zip code - owner
630175743
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Other type - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
6608222377
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
CRAIG
Last name - owner
HAYDEN
Title - owner
CHAIRMAN
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
7416303185
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
RYAN
Middle name - owner
E
Last name - owner
JOHNSTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
7719374263
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
KAY
Last name - owner
TAYLOR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
8224932991
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-10-01
Organization name - owner
MERCY HEALTH EAST COMMUNITIES
Doing business as name - owner
MERCY HEALTH EAST COMMUNITIES
Address line 1 - owner
645 MARYVILLE CENTRE DR
Address line 2 - owner
STE 100
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631415846
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Owned by another org or ind - owner
Y
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
8325494099
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
PATRICK
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
9133238033
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-10-01
First name - owner
PATRICK
Last name - owner
NAEGER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
9335280635
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-01
First name - owner
SHERRY
Last name - owner
CLOUSE DAY
Title - owner
TREASURER
Percentage ownership
0
Enrollment id
O20231106001433
Associate id
1153777826
Organization name
MERCY HOSPITAL PERRY
Associate id - owner
9638583735
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-09-15
First name - owner
BRIAN
Last name - owner
DAY
Title - owner
SENIOR VICE PRESIDENT
Percentage ownership
0

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