Organization Active NPI

Floyd County Memorial Hospital Commission

  • Family Medicine Physician
  • Waverly, IA
National Provider Identifier
1598693830
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
Practice address
100 Wartburg Blvd
Waverly, IA 50677-2215
Phone
(641) 228-6830
NPI assigned
May 8, 2026
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FLOYD COUNTY MEMORIAL HOSPITAL COMMISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Dawnett Louise Willis
Title
Ceo
Phone
(641) 257-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

100 Wartburg Blvd
Waverly, IA 50677-2215

Mailing address

800 11TH St
Charles City, IA 50616-3499
Phone (641) 228-6830

Other names 1

  • Floyd County Medical Center-Waverly Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000806 IA Part B Supplier - Clinic/Group Practice 0143138669 Receives reassigned benefits from 99 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charles City, IA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Health Clinic Community5 organizations share this tax ID, including this one
Part of
Health Clinic Community

Other organizations with this tax ID 4

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

Locations

100 Wartburg Blvd
Waverly, IA 50677
Phone (319) 352-8741

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1598693830",
    "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": "506163499",
            "telephone_number": "641-228-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772215",
            "telephone_number": "641-228-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-257-4311"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Medical Center-Waverly Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.