Fort Madison Health Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

195 Issued in IA

Legal business name

FORT MADISON HEALTH CENTER, INC.

Practice address

1702 41St St
Fort Madison, IA 52627-3269

Phone

(319) 372-8021

Fax

(319) 372-8163

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Wayne Marple

Title

Chief Financial Operator

Phone

(319) 372-4920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1477533362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 41ST ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273269",
            "telephone_number": "319-372-8021",
            "fax_number": "319-372-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 41ST ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273269",
            "telephone_number": "319-372-8021",
            "fax_number": "319-372-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MADISON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "MARPLE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OPERATOR",
        "authorized_official_telephone_number": "319-372-4920"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801266",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Fedler, DNP
• Beth Janette Fisher, PHARM. D
• Fort Madison C.S.D.
• Fort Madison Health Center Operations LLC
• Fort Madison Health Center, Inc.
• Fort Madison Lenscrafters
• Nichole Robin Francis, ARNP-C
• Sara M Garcia, PHARM. D.
• Amanda Christine Garr, ARNP
• Kyle Gibson

• All providers in Fort Madison, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.