Organization
MADISON COUNTY MEMORIAL HOSPITAL
Active
Other names
Madison County ER Doc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA L HENDRICKS (CEO)
(515) 462-2373
Entity
Organization
Contact information
Practice address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-9060
Mailing address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-9060
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187708
—
IA
01
—
18770
BCBS
IA
Enumeration date
12/22/2006
Last updated
12/01/2011
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