Healthcare Provider Details

I. General information

NPI: 1588644058
Provider Name (Legal Business Name): MADISON COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 SW 10TH ST
MADISON SD
57042-3200
US

IV. Provider business mailing address

323 SW 10TH ST
MADISON SD
57042-3200
US

V. Phone/Fax

Practice location:
  • Phone: 605-256-6551
  • Fax: 605-256-6469
Mailing address:
  • Phone: 605-256-6551
  • Fax: 605-256-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number49870
License Number StateSD

VIII. Authorized Official

Name: TERESA RAE MALLETT
Title or Position: CEO
Credential:
Phone: 605-256-6551