Active NPI
Floyd County Memorial Hospital Commission
- Family Medicine Physician
- Waverly, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| 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 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.
-
dba Floyd County Hosp ER Physicians
- Emergency Medicine Physician
- Charles City, IA
- NPI 1346210408
O20040128000806
-
dba Floyd County Medical Center Clinic
- Rural Health Clinic/Center
- Charles City, IA
- NPI 1700856630
O20040128000806
National Provider Directory
National Provider Directory- Tax ID family
- Health Clinic Community
- 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.
-
dba dba VAL LYONS
- Vascular & Interventional Radiology Physician
- Charles City, IA
- NPI 1962472068
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Critical Access Hospital
- Charles City, IA
- NPI 1942271598
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.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
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.