Organization Active NPI

Fort Madison Health Center, Inc.

Doing business as The Madison

  • Gerontology Nurse Practitioner
  • Fort Madison, IA
National Provider Identifier
1063879203
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
FORT MADISON HEALTH CENTER, INC.
Doing business as
The Madison
Practice address
1702 41St St
Fort Madison, IA 52627-3269
Phone
(319) 372-8021
Fax
(319) 372-8163
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chrisopher L McKay
Title
Administrator
Phone
(319) 372-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X IA Primary

Addresses

Primary practice location

1702 41St St
Fort Madison, IA 52627-3269

Mailing address

1702 41St St
Fort Madison, IA 52627-3269
Phone (319) 372-8021

Other names 1

  • The Madison Doing business as

National Provider Directory

National Provider Directory

Locations

1702 41st St
Fort Madison, IA 52627
Phone (319) 372-8021

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1063879203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 41ST ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273269",
            "telephone_number": "319-372-8021",
            "fax_number": "319-372-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 41ST ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273269",
            "telephone_number": "319-372-8021",
            "fax_number": "319-372-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MADISON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "CHRISOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-372-8021"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.