MADISON COMMUNITY HOSPITAL (NPI# 1962472530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962472530 |
| Entity Type | Organization |
| Organization Name | MADISON COMMUNITY HOSPITAL |
| Other Organization Name | D/B/A 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 | 2006-01-25 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MS. TAMARA MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6052566551 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0170910 | 05 |
| Other Name | Type Code |
|---|---|
| d/b/a 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 |
| 1588644058 | Madison Community Hospital | Ambulance | 323 Sw 10th St, Madison, SD 57042-3200 | 2006-01-19 |
| 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 |
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| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1245841667 | Naj Health Care Services Inc | Home Health | 6117 Driscoll Dr, Madison, WI 53718-3033 | 2020-08-10 |
| 1467074252 | Bethany Cares Home Health Services Inc | Home Health | 221 Clifty Dr, Madison, IN 47250-1603 | 2020-05-14 |
| 1952948895 | Alina's Elder Care, LLC | Home Health | 67 Sterling Park, Madison, CT 06443-2203 | 2019-12-10 |
| 1134788896 | 4 Lakes Health Services, Inc | Home Health | 437 S Yellowstone Dr Ste 210, Madison, WI 53719-1061 | 2019-06-06 |
| 1396214144 | A Divine Miracle Adult Day Center | Home Health | 331 Gallatin Pike S Ste 1, Madison, TN 37115-4052 | 2018-11-21 |
| 1407214505 | Cna On The Go, LLC | Home Health | 8326 Inverness Dr, Madison, WI 53717-2647 | 2016-02-03 |
| 1356720890 | Deanna Gail Porter | Home Health | 1706 S Thompson Dr, Madison, WI 53716-1982 | 2015-05-28 |
| 1376959668 | Stay At Home Health Care Inc | Home Health | 1130 Douglas St, Madison, IL 62060-1122 | 2014-07-07 |
| 1588097018 | Emily Winkelman | Home Health | 303 North Franklin Street, Madison, WI 53703-1501 | 2013-08-20 |
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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.