Public record

CMS Hospice All Owners

Associate id - owner: 9335589902 · 15 matching records

Enrollment id
O20030808000025
Associate id
9739098575
Organization name
SANFORD BISMARCK
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20050812000700
Associate id
7911989223
Organization name
HERITAGE HOME HEALTHCARE & HOSPICE, INC
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
TREASURER
Percentage ownership
0
Enrollment id
O20060817000327
Associate id
1951218817
Organization name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EXECUTIVE VP, CFO, TREASURER
Enrollment id
O20070214000067
Associate id
2567370539
Organization name
BEAVER DAM COMMUNITY HOSPITALS INC.
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CFO - SANFORD, EXECUTIVE VP
Enrollment id
O20070906000762
Associate id
1951218817
Organization name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
TREASURER
Percentage ownership
0
Enrollment id
O20070906000762
Associate id
1951218817
Organization name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Associate id - owner
9335589902
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EVP, CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20071227000551
Associate id
6103737820
Organization name
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-02
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EXECUTIVE VP, CFO - SANFORD
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EXEC VP, CFO, TREASURER
Enrollment id
O20080630000443
Associate id
8628987823
Organization name
PRAIRIE LAKES HEALTH CARE SYSTEM INC
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-10-31
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20080917000625
Associate id
1951218817
Organization name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
TREASURER, CFO, EXEC VP
Enrollment id
O20100820000664
Associate id
5597725168
Organization name
SANFORD HEALTH OF NORTHERN MINNESOTA
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20110606000100
Associate id
6103862784
Organization name
SANFORD HOME HEALTH
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Enrollment id
O20191205002960
Associate id
8426967803
Organization name
SANFORD MEDICAL CENTER FARGO
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20241030003849
Associate id
1951218817
Organization name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EVP, CFO, OFFICER, TREASURER
Percentage ownership
0
Enrollment id
O20250122000794
Associate id
6800784943
Organization name
DICKINSON COUNTY HEALTHCARE SYSTEM
Associate id - owner
9335589902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
CFO SANFORD, EXECUTIVE VP

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