FORT MADISON COMMUNITY HOSPITAL (NPI# 1366081358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366081358 |
| Entity Type | Organization |
| Organization Name | FORT MADISON COMMUNITY HOSPITAL |
| Other Organization Name | FORT MADISON COMMUNITY HOSPITAL GERIATRIC BEHAVIORAL HEALTH |
| Practice Address |
5445 Avenue O Fort Madison IA 52627-9611 |
| Mailing Address |
Po Box 174 Fort Madison IA 52627-0174 |
| Practice Telephone | 3193726530 |
| Mailing Telephone | 3193726530 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | BARB JEAN LINDER (VP OF COMPLIANCE) |
| Authorized Official Telephone | 3193762711 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORT MADISON COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fort Madison Community Hospital Geriatric Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1093175994 | Savannah Marie Hamilton | Nurse Practitioner | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2016-03-04 |
| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276437 | Prabhakar Pisipati | Psychiatry & Neurology | 1410 N 4th St, Clinton, IA 52132 | 2005-06-26 |
| 1760043756 | Maham Bangash | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2019-06-21 |
| 1518953629 | Mary Elizabeth Johnson | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-23 |
| City | FORT MADISON |
| Zip Code | 52627 |
Please comment or provide details below to improve the information on FORT MADISON COMMUNITY HOSPITAL.
| 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.