NPIMap

Organization Active NPI

Madison Community Hospital

Doing business as Madison Regional Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Madison, SD
National Provider Identifier
1265402838
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MADISON COMMUNITY HOSPITAL
Doing business as
Madison Regional Health System
Practice address
323 SW 10TH St
Madison, SD 57042-3200
Phone
(605) 256-6551
Fax
(605) 256-6551
NPI assigned
Jan 25, 2006
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Teresa Rae Mallett
Title
Ceo
Phone
(605) 256-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU 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 identifiers 1

IdentifierTypeStateIssuer
8U007OtherSDHOSPITAL/SWING BED

Other names 1

  • Madison Regional Health System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000453 SD Part A Provider - Critical Access Hospital 3779579743 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265402838. Details of each certification follow.

Hospital certification: CCN 43Z300

Legal name
MADISON COMMUNITY HOSPITAL
Doing business as
MADISON REGIONAL HEALTH SYSTEM
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1919 in SD
Enrollment address
323 SW 10TH St
Madison, SD 57042-3200
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).

National Provider Directory

National Provider Directory
Tax ID family
Madison Comm Hosp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Daniel J Brown Individual Corporate Director Jan 1, 2010
Lois K. Niedert Individual Corporate Director Apr 1, 1996
Teresa Mallett Individual Corporate OfficerCeo May 29, 2001
W-2 Managing EmployeeCeo May 29, 2001
Operational/Managerial ControlCeo Jan 1, 2025
Chelsey Carper Individual Corporate OfficerCfo Jan 1, 2025
W-2 Managing EmployeeCfo Jan 1, 2025
Operational/Managerial ControlCfo Jan 1, 2025
Madison Community Hospital Organization, Madison, SD Non-profit Operational/Managerial Control Jul 1, 1966
Robert Vanliere Individual Corporate Director Sep 1, 2017
Robin R. Schwebach Individual Corporate Director Sep 1, 2000
Ryan Kappenman Individual Corporate Director Sep 1, 2022
Brady Wiebe Individual Corporate Director Sep 1, 2022
Daniel Talley Individual Corporate Director Oct 10, 2016
Jeffrey Minnaert Individual Corporate Director Sep 1, 2022
Laura Johnson Individual Corporate Director Oct 1, 2016
Betty Vanderwerff Individual Corporate Director Dec 1, 2019
Sandra K Schwader Individual Corporate Director Sep 1, 2021

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 1

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.

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1265402838",
    "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": "605-256-6551"
        },
        {
            "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": "605-256-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-256-6551"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL/SWING BED",
            "identifier": "8U007",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, SD

Sources for this page

Verify at the official NPI Registry.