NPIMap

Organization Active NPI

Madison County Hospital Health Systems, Inc.

Doing business as Madison County Memorial Hospital

  • Critical Access Hospital
  • Madison, FL
National Provider Identifier
1104821461
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4346 Issued in FL
Legal business name
MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.
Doing business as
Madison County Memorial Hospital
Practice address
224 NW Crane Ave
Madison, FL 32340-1400
Phone
(850) 973-2271
Fax
(850) 973-2818
NPI assigned
Jun 14, 2005
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Mrs. Tammy Stevens
Title
C.E.O.
Phone
(850) 973-2271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4346 FL Primary

Addresses

Primary practice location

224 NW Crane Ave
Madison, FL 32340-1400

Mailing address

224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 973-2271

Other practice location 1

312 NW Marion Street
Madison, FL 32340
Phone (850) 253-1981

Other identifiers 4

IdentifierTypeStateIssuer
060090300MedicaidFL
0101150-00MedicaidFL
020053100MedicaidFL
110OtherFLBLUE CROSS

Other names 1

  • Madison County Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040602000398 FL Part B Supplier - Clinic/Group Practice 2860474111 Receives reassigned benefits from 21 practitioners
Practice locations: Madison, FL
O20061104000614 FL Part A Provider - Critical Access Hospital 2860474111 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104821461. Details of each certification follow.

Hospital certification: CCN 101311

Legal name
MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
Doing business as
MADISON COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 28, 2005
Last certification
Jun 14, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Nov 10, 1983 in FL
Enrollment address
224 NW Crane Ave
Madison, FL 32340-1400
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Madison County Memorial HospitalCCN 101311 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

312 NW Marion St
Madison, FL 32340
Phone (850) 253-1981

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rosa Richardson Individual Corporate Director Feb 27, 2014
Tammy Stevens Individual Corporate OfficerChief Executive Officer Aug 1, 2014
Operational/Managerial Control Aug 14, 2014
James Sale Individual Corporate Director Sep 21, 2006
Karen Annette Johnson Individual Corporate Director Jan 27, 2010
Juanita Fico Individual Corporate Director Aug 22, 2017
Shirley Joseph Individual Corporate Director Jan 27, 2010
Patrick McGee Individual Corporate OfficerCfo Aug 1, 2014
Corporate Director Jan 1, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

Affiliated clinicians 63

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1104821461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NW CRANE AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401400",
            "telephone_number": "850-973-2271",
            "fax_number": "850-973-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NW CRANE AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401400",
            "telephone_number": "850-973-2271",
            "fax_number": "850-973-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 NW Marion Street",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "32340",
            "country_code": "US",
            "telephone_number": "850-253-1981",
            "fax_number": "855-576-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "850-973-2271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060090300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101150-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020053100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.