MADISON COMMUNITY HOSPITAL (NPI# 1588644058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588644058 |
| Entity Type | Organization |
| Organization Name | MADISON COMMUNITY HOSPITAL |
| Other Organization Name | MADISON REGIONAL HEALTH SYSTEM |
| Practice Address |
323 Sw 10th St Madison SD 57042-3200 |
| Practice Telephone | 6052566551 |
| Practice Fax Number | 6052566469 |
| Mailing Telephone | 6052566551 |
| Mailing Fax Number | 6052566469 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | MS. TAMARA L. MILLER (CEO) |
| Authorized Official Telephone | 6052566551 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
49870 | SD | Hospitals |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0100070 | 05 | |
| SD | 5590270 | 05 | |
| SD | SWING BED | 8U007 | 01 |
| SD | 0159090 | 05 | |
| SD | 5500070 | 05 | |
| SD | 9010100 | 05 | |
| SD | 0170910 | 05 | |
| SD | 10501905 | 05 | |
| SD | HOSPITAL | 43-0007 | 01 |
| SD | HOSPITAL | 80007 | 01 |
| Other Name | Type Code |
|---|---|
| Madison Regional Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447563432 | Madison Community Hospital | Clinic/Center | 30785 Stephenson Hwy, Madison Heights, MI 48071-1618 | 2010-07-19 |
| 1265402838 | Madison Community Hospital | Medicare Defined Swing Bed Unit | 323 Sw 10th St, Madison, SD 57042-3200 | 2006-01-25 |
| 1962472530 | Madison Community Hospital | Home Health | 323 Sw 10th St, Madison, SD 57042-3200 | 2006-01-25 |
| Street Address |
323 SW 10TH ST |
| City | MADISON |
| State | SD |
| Zip Code | 57042-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508843327 | Wayne A Wetzbarger | Internal Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2005-12-22 |
| 1194339614 | Emily Spanier | Physician Assistant | 323 Sw 10th St, Madison, SD 57042-3200 | 2020-09-02 |
| 1245796770 | Paul Bindert | Physical Therapist | 323 Sw 10th St, Madison, SD 57042-3200 | 2019-02-20 |
| 1154898971 | Jordan Elisabeth Eichacker | Dietitian, Registered | 323 Sw 10th St, Madison, SD 57042-3200 | 2018-10-30 |
| 1619461290 | Heather Hagberg | Speech-Language Pathologist | 323 Sw 10th St, Madison, SD 57042-3200 | 2018-06-18 |
| 1073971321 | Jackie Joanne Bau | Nurse Practitioner | 323 Sw 10th St, Madison, SD 57042-3200 | 2016-02-02 |
| 1568839983 | Lewis Drugs, Inc. | Pharmacy | 323 Sw 10th St, Suite 101, Madison, SD 57042 | 2015-09-02 |
| 1114336153 | Meggan Leigh Reisch | Registered Nurse | 323 Sw 10th St, Madison, SD 57042-3200 | 2014-08-04 |
| 1750624177 | Laura Hoefert | Family Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2013-04-03 |
| 1326301128 | Ben Liscano | Family Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1619222080 | Laura Elizabeth Larsen | Occupational Therapist | 917 North Washington, Madison, SD 57042 | 2012-07-20 |
| 1639470925 | Jessica Rogers | Physical Therapy Assistant | 416 South Harth Ave., Madison, SD 57042 | 2010-11-03 |
| 1093924169 | Bradley Dale Gilbert | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2007-05-22 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| 1912076985 | Larry Paul Green Sr. | Dentist | 102 N Egan Ave, Madison, SD 57042 | 2006-11-06 |
| 1306854062 | Michael Steven Brooke | Optometrist | 302 N Harth Avenue, Madison, SD 57042 | 2006-08-04 |
| 1336118181 | Douglas J Caron | Chiropractor | 120 Nw 2nd St, Madison, SD 57042 | 2006-03-15 |
| Find all providers in zip 57042 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235837 | Morgan County Georgia Hospital Authority | General Acute Care Hospital | 1077 S Main St, Madison, GA 30650-2073 | 2005-06-20 |
| 1104821461 | Madison County Hospital Health Systems, Inc. | General Acute Care Hospital | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2005-06-14 |
| 1457697419 | Veteran's Health Administration | General Acute Care Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2012-12-19 |
| 1205843174 | Morgan County Georgia Hospital Authority | General Acute Care Hospital | 1077 S Main St, Madison, GA 30650-2073 | 2006-08-02 |
| 1275596777 | Boone Memorial Hospital | General Acute Care Hospital | 701 Madison Ave, Madison, WV 25130-1669 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.