Healthcare Provider Details

I. General information

NPI: 1700856630
Provider Name (Legal Business Name): FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MAIN ST STE 6
CHARLES CITY IA
50616-3444
US

IV. Provider business mailing address

1501 S MAIN ST STE 6
CHARLES CITY IA
50616-3444
US

V. Phone/Fax

Practice location:
  • Phone: 641-228-5151
  • Fax: 641-257-4362
Mailing address:
  • Phone: 641-257-1184
  • Fax: 641-257-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34-0138H
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAWNETT WILLIS
Title or Position: CEO
Credential:
Phone: 641-228-6830