Floyd County Memorial Hospital Commission
Organization Active NPI Emergency Medicine Physician · Charles City, IA
NPI 1346210408 · NPPES record last updated Jan 2, 2026
Key facts
- NPI
- 1346210408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 340138H (IA)
- Legal business name
- FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
- Practice address
- 800 11TH St
Charles City, IA 50616 - Phone
- (641) 228-6830
- Fax
- (641) 257-4362
- NPI assigned
- Jan 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
Authorized official
- Name
- Dawnett Willis
- Title
- Ceo
- Phone
- (641) 228-6830
Parent organization (reported in NPPES) 1
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Practitioners 103
-
Jodi Bangasser, ARNP
-
Roger O Barillas, ARNP
-
Brenda Lynn Cooper, ARNP
-
Timothy Dettmer, M.D.
-
Candace Vera Deverell, CRNP
-
Heather J Dill, MD
-
Judi L Halbach, NP
-
Megan Rose Miller, ARNP
-
Joseph J Ocel, M.D.
-
Brandy M Reints, ARNP
-
Paul Henry Royer, MD FACC
-
Jessica M Shea-Hebrink, ARNP
-
Ryan L Smith, M.D.
-
Joanne Kathryn Starr, ARNP
-
Jessica A Throndson, LMHC
-
Janean Wedeking, DO
-
Hitesh Avaiya, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Chautauqua Guest Home #2 |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 13, 2014 Jun 13, 2014 |
| Chautauqua Guest Home #3 |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 13, 2014 Jun 13, 2014 |
| Floyd County Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 16, 2000 Nov 16, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000806 | IA | Part B Supplier - Clinic/Group Practice | 0143138669 |
Receives reassigned benefits from 99 practitioners 3 other NPIs on this enrollment Practice locations: Charles City, IA |
National Provider Directory
- Part of
- Floyd County Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 340138H | IA | Yes |
| Internal Medicine Physician |
207R00000X | |||
| Hospitalist Physician |
208M00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
800 11TH St
Charles City, IA 50616
Mailing address
800 11TH St
Charles City, IA 50616-3468
Phone (641) 228-6830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079475 | Medicaid | IA | |
| 06942 | Other | IA | WELLMARK BCBS |
Other names
- FLOYD COUNTY HOSP ER PHYSICIANS
- Floyd County Medical Center Multi-Specialty Providers
Other providers in Charles City, IA
- Reed Faldet
- Floyd County Case Management
- Floyd County Hosp
- Floyd County Hosp
- Floyd County Memorial Hospital Commission
- Floyd County Memorial Hospital Commission
- Floyd County Memorial Hospital Commission
- Floyd County Memorial Hospital Crna
- Floyd County Memorial Hospital Surgeon
- Fresenius Kidney Care North Iowa, LLC
All providers in Charles City, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.