Public record

CMS Rural Health Clinic All Owners

Associate id - owner: 4082524566 · 8 matching records

Enrollment id
O20100804000406
Associate id
3870524598
Organization name
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
Associate id - owner
4082524566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CEO, BOARD MEMBER
Enrollment id
O20110505000864
Associate id
1658270368
Organization name
CENTRACARE HEALTH SYSTEM - MELROSE
Associate id - owner
4082524566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
BOARD MEMBER
Enrollment id
O20110505000864
Associate id
1658270368
Organization name
CENTRACARE HEALTH SYSTEM - MELROSE
Associate id - owner
4082524566
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CEO, CENTRACARE HEALTH SYSTEM
Enrollment id
O20130122000550
Associate id
4981857216
Organization name
CENTRACARE HEALTH SYSTEM - SAUK CENTRE
Associate id - owner
4082524566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
BOARD MEMBER
Enrollment id
O20181031002586
Associate id
1153555719
Organization name
CENTRACARE HEALTH-PAYNESVILLE LLC
Associate id - owner
4082524566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CEO, BOARD MEMBER
Enrollment id
O20181102000098
Associate id
1153555719
Organization name
CENTRACARE HEALTH-PAYNESVILLE LLC
Associate id - owner
4082524566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CEO, BOARD MEMBER
Enrollment id
O20190425000808
Associate id
7911259619
Organization name
CARRIS HEALTH - REDWOOD LLC
Associate id - owner
4082524566
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CHAIN HOME OFFICE ADMIN
Enrollment id
O20230112000151
Associate id
1850761685
Organization name
CENTRACARE HEALTH - BENSON LLC
Associate id - owner
4082524566
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-06-30
First name - owner
KENNETH
Middle name - owner
D
Last name - owner
HOLMEN
Title - owner
CEO/BOARD MEMBER

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