FORT MADISON COMMUNITY HOSPITAL HOSPICE
NPI 1639686512
Hospice Care, Community Based in Fort Madison, IA

NPI Status: Active since January 02, 2018

Contact Information

5445 AVENUE O
FORT MADISON, IA
ZIP 52627
Phone: (319) 376-2166
Fax: (319) 376-2167

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  • Organization
  • Hospice Care, Community Based

About FORT MADISON COMMUNITY HOSPITAL HOSPICE

This page provides the complete NPI Profile along with additional information for Fort Madison Community Hospital Hospice, a provider established in Fort Madison, Iowa operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1639686512 assigned on January 2018. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fort Madison Community Hospital Hospice. The authorized official of this NPI record is Ms. Shelby L Burchett (Ceo)

NPI
1639686512
Provider Legal Name
FORT MADISON COMMUNITY HOSPITAL
Other Organization Name
FORT MADISON COMMUNITY HOSPITAL HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5445 AVENUE O FORT MADISON, IA 52627
Location Phone
(319) 376-2166
Location Fax
(319) 376-2167
Mailing Address
PO BOX 174 FORT MADISON, IA 52627
Mailing Phone
(319) 376-2166
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-02-2018
Last Update Date
05-21-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SHELBY L BURCHETT

Authorized Official Title
CEO
Authorized Official Phone
(319) 376-2124

Reviews for FORT MADISON COMMUNITY HOSPITAL HOSPICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639686512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691281252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 8 + 1 + 2 + 5 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1639686512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306822267DR. BETH JANETTE FISHER PHARM. D
Individual
Pharmacist5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2408
1730157223 MARK PANTHER CRNA
Individual
Nurse Anesthetist, Certified Registered5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1568430825MIDWEST ANESTHESIA CARE INC
Organization
Nurse Anesthetist, Certified Registered5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1053389213 STEVE KNIGHT CRNA
Individual
Nurse Anesthetist, Certified Registered5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1235322306 CATHERINE A MEHMERT
Individual
Dietitian, Registered5445 AVENUE O FORT MADISON COMMUNITY HOSPITAL
FORT MADISON, IA 52627
(319) 376-2230
1568617603MS. JANE MARIE WENTZIEN M.P.T.
Individual
Physical Therapist (Orthopedic)5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2072
1437421682 DEBRA J TINGUELY PHARM.D
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2080
1447592217 JOSEF A BLUNIER PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2080
1487050118MR. TREVOR PEZLEY ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)5445 AVENUE O
FORT MADISON, IA 52627
(319) 470-8896
1518415298 TIFFANY RHOADES FNP
Individual
Nurse Practitioner5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1629473343 VISHAUN LAWRENCE FNP
Individual
Nurse Practitioner5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1346390655FORT MADISON COMMUNITY HOSPITAL
Organization
General Acute Care Hospital5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2156
1366081358FORT MADISON COMMUNITY HOSPITAL
Organization
Psychiatry & Neurology (Geriatric Psychiatry)5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530
1104230846 MATTHEW WICKERT PT
Individual
Physical Therapist (Orthopedic)5445 AVENUE O
FORT MADISON, IA 52627
(660) 341-1684
1063830719 SAMANTHA KNOTT DPT
Individual
Physical Therapist5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2180
1336637289 EMMA KAY SHIPLEY M.S. CCC-SLP
Individual
Speech-Language Pathologist5445 AVENUE O
FORT MADISON, IA 52627
(319) 759-7232
1477173714MRS. ALLISON MICHELLE BLODGETT DPT
Individual
Physical Therapist5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2180
1558981720 JOANIE J HAWK DPT
Individual
Physical Therapist5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2180
1861012528 KRISTIN C SMITH OT
Individual
Occupational Therapist5445 AVENUE O
FORT MADISON, IA 52627
(319) 376-2180
1902810856FORT MADISON COMMUNITY HOSPITAL
Organization
General Acute Care Hospital5445 AVENUE O
FORT MADISON, IA 52627
(319) 372-6530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639686512, enumerated in the NPI registry as an "organization" on January 02, 2018

The provider is located at 5445 Avenue O Fort Madison, Ia 52627 and the phone number is (319) 376-2166

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

This NPI record was last updated on January 02, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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