NPIMap

Organization Active NPI

Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
National Provider Identifier
1265402390
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
340138H Issued in IA
Legal business name
FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
Practice address
800 11TH St
Charles City, IA 50616-3468
Phone
(641) 228-6830
Fax
(641) 257-4362
NPI assigned
Jan 23, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Dawnett Willis
Title
Ceo
Phone
(641) 228-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 340138H IA Primary

Addresses

Primary practice location

800 11TH St
Charles City, IA 50616-3468

Mailing address

800 11TH St
Charles City, IA 50616-3468
Phone (641) 228-6830

Other identifiers 4

IdentifierTypeStateIssuer
A5061606OtherILJDH-HERITAGE
60037OtherIAWELLMARK BCBS
0600379MedicaidIA
30052OtherIACOVENTRY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000092 IA Part A Provider - Critical Access Hospital 0143138669 Receives reassigned benefits from 74 practitioners
Practice locations: Charles City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265402390. Details of each certification follow.

Hospital certification: CCN 161347

Legal name
FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
Doing business as
FLOYD COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2003
Last certification
Jun 17, 2021
Beds
25
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
800 11TH St
Charles City, IA 50616-3468
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Floyd County Medical CenterCCN 161347 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Floyd County Memorial Hosp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • County of Floyd

    dba Floyd County Public Health/Home Health Care

    • Public Health or Welfare Agency
    • Charles City, IA
    • NPI 1487098471

    Member Of

    NPD member

Locations (25 of 183)

2625 W Alameda Ave
Burbank, CA 91505
Phone (818) 845-2255

3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000

1920 Colorado Ave
Fl Second
Santa Monica, CA 90404

20300 S Vermont Ave
Torrance, CA 90502
Phone (310) 787-1335

1199 Main Ave
Ste 217
Durango, CO 81301
Phone (831) 419-3232

7335 W Sand Lake Rd
Ste 200
Orlando, FL 32819
Phone (407) 352-8553

1503 Buenos Aires Blvd
Ste 180
The Villages, FL 32159
Phone (352) 323-1482

6582 165th St
Albia, IA 52531
Phone (641) 932-7172

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

1215 Duff Ave
#3014
Ames, IA 50010

2610 Northridge Pkwy
Ste 103
Ames, IA 50010
Phone (515) 292-4845

1200 NW 36th St
Ankeny, IA 50023

1410 SW Tradition Dr
Ste 120
Ankeny, IA 50023
Phone (515) 875-9040

1810 SW White Birch Cir
Ste 111
Ankeny, IA 50023
Phone (515) 964-6974

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

320 N 3rd St
Burlington, IA 52601

311 S Clark St
Ste 285
Carroll, IA 51401
Phone (712) 792-2093

5100 Prairie Pkwy
Ste 300
Cedar Falls, IA 50613

516 Division St
Ste 140
Cedar Falls, IA 50613

7024 Nordic Dr
Cedar Falls, IA 50613
Phone (319) 266-3127

7024 Nordic Dr
Ste 100
Cedar Falls, IA 50613

1570 42nd St NE
Ste 7
Cedar Rapids, IA 52402

202 10th St SE
Ste 145
Cedar Rapids, IA 52403

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

3705 River Ridge Dr NE
Cedar Rapids, IA 52402
Phone (319) 393-0004

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jonathan R Perin Individual Corporate DirectorChief Ambulatory Officer Jan 1, 2025
W-2 Managing EmployeeChief Ambulatory Officer Jan 1, 2025
Sheila Koudelka Individual W-2 Managing Employee Jan 20, 2022
Alyssa Marie Conradi Individual W-2 Managing EmployeeClinic Director Jan 1, 2025
Dawnett L Willis Individual Operational/Managerial Control Sep 30, 2021

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chautauqua Guest Home #2Charles City, IA, CCN 165019 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 13, 2014
Jun 13, 2014
Chautauqua Guest Home #3Charles City, IA, CCN 165243 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 13, 2014
Jun 13, 2014
Floyd County Medical CenterCharles City, IA, CCN 163498 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 16, 2000
Nov 16, 2000

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2,653

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 2,653

Affiliated clinicians 120

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

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1265402390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-228-6830"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "340138H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDH-HERITAGE",
            "identifier": "A5061606",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "60037",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600379",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "30052",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

Verify at the official NPI Registry.