MADISON COUNTY MEMORIAL HOSPITAL (NPI# 1639314941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639314941 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | MADISON COUNTY MEMORIAL HOSPITAL RADIOLOGIST |
| Practice Address |
300 W Hutchings St Winterset IA 50273-2109 |
| Practice Telephone | 5154622373 |
| Practice Fax Number | 5154629060 |
| Mailing Telephone | 5154622373 |
| Mailing Fax Number | 5154629060 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MRS. MARCIA L HENDRICKS (CEO) |
| Authorized Official Telephone | 5154622373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Madison County Memorial Hospital Radiologist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497810097 | Madison County Memorial Hospital | Clinic/Center | 125 W 1st St, Earlham, IA 50072-7705 | 2006-12-26 |
| 1457520744 | Madison County Memorial Hospital | Registered Nurse | 300 W Hutchings St, Winterset, IA 50273-2109 | 2008-02-21 |
| 1093929390 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2007-05-09 |
| 1710042973 | Madison County Memorial Hospital | Hospice Care, Community Based | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| 1194880112 | Madison County Memorial Hospital | Medicare Defined Swing Bed Unit | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| 1962567990 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| 1386709129 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-22 |
| 1831104611 | Madison County Memorial Hospital | General Acute Care Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MADISON COUNTY MEMORIAL HOSPITAL | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Street Address |
300 W HUTCHINGS ST |
| City | WINTERSET |
| State | IA |
| Zip Code | 50273-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812827 | Kevin Michael Gabbert | Social Worker | 300 W Hutchings St, Winterset, IA 50273-2104 | 2005-06-27 |
| 1447659685 | Melissa Ann Merritt | Nurse Practitioner | 300 W Hutchings St, Winterset, IA 50273-2109 | 2014-08-13 |
| 1275872152 | Iowa Pain Management, Pllc | Anesthesiology | 300 W Hutchings St, Winterset, IA 50273-2109 | 2013-02-12 |
| 1639309669 | Sheena Katherine Cortner | Physician Assistant | 300 W Hutchings St, Winterset, IA 50273-1406 | 2009-07-24 |
| 1750545364 | Heather Dawn Back | Family Medicine | 300 W Hutchings St, Winterset, IA 50273-2109 | 2008-07-12 |
| 1457520744 | Madison County Memorial Hospital | Registered Nurse | 300 W Hutchings St, Winterset, IA 50273-2109 | 2008-02-21 |
| 1093929390 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2007-05-09 |
| 1710042973 | Madison County Memorial Hospital | Hospice Care, Community Based | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| 1194880112 | Madison County Memorial Hospital | Medicare Defined Swing Bed Unit | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| 1962567990 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
| 1194374520 | January Post | Technician | 111 N. 8th Ave, Apt 7, Winterset, IA 50273 | 2019-09-09 |
| 1407346091 | Jeffrey Todd Olson | Pharmacist | 118-120 North First Ave, Winterset, IA 50273 | 2018-05-18 |
| 1356717730 | Jennifer Sue Livingston | Counselor | 113 N John Wayne Drive, Winterset, IA 50273 | 2015-08-19 |
| 1235347774 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 69 W Jefferson Ave, Winterset, IA 50273 | 2007-05-18 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1770558173 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 121 E Madison St, Winterset, IA 50273 | 2006-02-20 |
| 1679947725 | Jeremy Ascherl | Chiropractor | 1217 N 6th Ave, Suite 4, Winterset, IA 50273-1059 | 2015-11-29 |
| 1932632551 | Whitney Dawson | Chiropractor | 1217 N 6th Ave, Suite 4, Winterset, IA 50273-1059 | 2017-04-10 |
| 1194270314 | Ascherl Chiropractic Sports & Wellness Clinic LLC | Chiropractor | 1217 N 6th Ave, Suite 4, Winterset, IA 50273-1059 | 2016-08-17 |
| Find all providers in zip 50273 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796185 | Stephan M. Cooper | Radiology | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
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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.