FORT MADISON COMMUNITY HOSPITAL (NPI# 1124112230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112230 |
| 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 | 2006-10-03 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 560087H | IA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0655746 | 05 |
| 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 |
| 1679673081 | Fort Madison Community Hospital | Home Health | 5445 Avenue O, Suite 114, Fort Madison, IA 52627-9611 | 2006-09-25 |
| 1902810856 | Fort Madison Community Hospital | General Acute Care Hospital | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2006-07-28 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1548278328 | Sioux Center Health | Medicare Defined Swing Bed Unit | 1101 9th St. Se, Sioux Center, IA 51250-2501 | 2006-08-04 |
| 1093288292 | Avera Mckennan | Medicare Defined Swing Bed Unit | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-01-10 |
| 1649650714 | Mercy Medical Center - Newton | Medicare Defined Swing Bed Unit | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1922335322 | Story County Hospital | Medicare Defined Swing Bed Unit | 640 S 19th St, Nevada, IA 50201-2902 | 2009-11-06 |
| 1063650034 | Unity Healthcare | Medicare Defined Swing Bed Unit | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2009-01-29 |
| 1780892307 | Grinnell Regional Medical Center | Medicare Defined Swing Bed Unit | 210 4th Ave, Grinnell, IA 50112-1898 | 2007-05-18 |
| 1639399827 | Baum Harmon Mercy Hospital | Medicare Defined Swing Bed Unit | 255 N Welch Ave, Primghar, IA 51245-0528 | 2007-04-27 |
| 1447381322 | Veterans Memorial Hospital City of Waukon Ia | Medicare Defined Swing Bed Unit | 40 1st St Se, Waukon, IA 52172-2022 | 2007-03-09 |
| 1356490841 | Ringgold County Hospital | Medicare Defined Swing Bed Unit | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 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.