Healthcare Provider Details

I. General information

NPI: 1225801764
Provider Name (Legal Business Name): MADISON COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUTCHINGS ST
WINTERSET IA
50273-2109
US

IV. Provider business mailing address

300 W HUTCHINGS ST
WINTERSET IA
50273-2109
US

V. Phone/Fax

Practice location:
  • Phone: 515-462-2373
  • Fax:
Mailing address:
  • Phone: 515-462-2373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBEKAH KAY GILLESPIE
Title or Position: CFO
Credential:
Phone: 515-462-5202