Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5991891442 · 9 matching records

Enrollment id
O20140407000005
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CMO
Enrollment id
O20141021001686
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CMO
Enrollment id
O20141021001686
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Enrollment id
O20141209001444
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CHIEF MEDICAL OFFICER
Enrollment id
O20141209001444
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Enrollment id
O20150611002178
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CMO
Enrollment id
O20150611002178
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Enrollment id
O20160526000363
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CMO
Enrollment id
O20180628002175
Associate id
0446167415
Organization name
MAJOR HOSPITAL
Associate id - owner
5991891442
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
PAULA
Middle name - owner
A
Last name - owner
GUSTAFSON
Title - owner
VP & CMO

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