NPIMap

Organization Active NPI

Madison Community Hospital

  • Community Health Worker
  • Madison, SD
National Provider Identifier
1104649300
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MADISON COMMUNITY HOSPITAL
Practice address
323 SW 10TH St
Madison, SD 57042-3200
Phone
(605) 256-6551
Fax
(605) 256-6469
NPI assigned
Nov 5, 2024
Organization subpart
Yes
Parent organization
MADISON COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mrs. Teresa Rae Mallett
Title
Cfo
Phone
(605) 256-8605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

323 SW 10TH St
Madison, SD 57042-3200

Mailing address

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

Other names 1

  • Madison Regional Health System Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison Comm Hosp Ra2 organizations share this tax ID, including this one
Part of
Madison Comm Hosp Ra

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madi-5f2b4c14

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1104649300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON COMMUNITY HOSPITAL",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-256-8605",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.