FORT MADISON COMMUNITY HOSPITAL (NPI# 1902810856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902810856 |
| Entity Type | Organization |
| Organization Name | FORT MADISON COMMUNITY HOSPITAL |
| Practice Address |
5445 Avenue O Fort Madison IA 52627-9611 |
| Practice Telephone | 3193726530 |
| Practice Fax Number | 3193729119 |
| Mailing Telephone | 3193726530 |
| Mailing Fax Number | 3193729119 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MS. SHELBY L BURCHETT (CEO) |
| Authorized Official Telephone | 3193762124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 560087H | IA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 60122 | 01 |
| IA | 0601229 | 05 | |
| IA | RAILROAD MEDICARE | CD0266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081358 | Fort Madison Community Hospital | Psychiatry & Neurology | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2019-12-23 |
| 1639686512 | Fort Madison Community Hospital | Hospice Care, Community Based | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2018-01-02 |
| 1083764393 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| 1982754297 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| 1346390655 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| 1124112230 | Fort Madison Community Hospital | Medicare Defined Swing Bed Unit | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2006-10-03 |
| 1679673081 | Fort Madison Community Hospital | Home Health | 5445 Avenue O, Suite 114, Fort Madison, IA 52627-9611 | 2006-09-25 |
| 1629024286 | Fort Madison Community Hospital | Obstetrics & Gynecology | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FORT MADISON COMMUNITY HOSPITAL | 5445 Aveunue O, P.o. Box 174, Fort Madison, IA 52627 |
| Iowa Business Entities | FORT MADISON COMMUNITY HOSPITAL AUXILIARY, INC. | P.o. Box 174, 5445 Avenue O, Fort Madison, IA 52627 |
| Iowa Business Entities | FORT MADISON COMMUNITY HOSPITAL FOUNDATION | P.o. Box 174, 5445 Avenue O, Fort Madison, IA 52627 |
| Street Address |
5445 AVENUE O |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306822267 | Beth Janette Fisher | Pharmacist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2005-12-21 |
| 1861012528 | Kristin C Smith | Occupational Therapist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2020-04-23 |
| 1851911937 | Christina Marie Campbell-oberman | Occupational Therapist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2020-04-20 |
| 1215557483 | Leann M Moeller | Physical Therapist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2020-04-17 |
| 1558981720 | Joanie J Hawk | Physical Therapist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2020-04-17 |
| 1477173714 | Allison Michelle Blodgett | Physical Therapist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2020-04-16 |
| 1366081358 | Fort Madison Community Hospital | Psychiatry & Neurology | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2019-12-23 |
| 1336637289 | Emma Kay Shipley | Speech-Language Pathologist | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2018-04-26 |
| 1639686512 | Fort Madison Community Hospital | Hospice Care, Community Based | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2018-01-02 |
| 1518415298 | Tiffany Rhoades | Nurse Practitioner | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083764393 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| 1982754297 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| 1346390655 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
| 1982914172 | Mary Louise Gallegos | General Acute Care Hospital | 1205 W Us Highway 30, Suite A, Carroll, IA 51401-3364 | 2010-10-21 |
| 1538395975 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1755 59th Place, West Des Moines, IA 50266-7737 | 2009-05-29 |
| 1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1437325107 | Keokuk Area Hospital | General Acute Care Hospital | 1600 Morgan Street, Keokuk, IA 52632-3456 | 2008-05-02 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| 1720126527 | James W Pollard Dds PC | General Acute Care Hospital | 1905 S Marshall St, Boone, IA 50036-5401 | 2007-02-02 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| 1942290432 | Skiff Hospital | General Acute Care Hospital | 5957 Highway F48 W, Newton, IA 50208-9053 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT MADISON |
| Zip Code | 52627 |
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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.