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Organization

FORT MADISON HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE MARPLE (CHIEF FINANCIAL OPERATOR)
(319) 372-4920
Entity
Organization

Contact information

Practice address
1702 41ST ST, FORT MADISON, IA 52627-3269
(319) 372-8021
(319) 372-8163
Mailing address
1702 41ST ST, FORT MADISON, IA 52627-3269
(319) 372-8021
(319) 372-8163

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
195
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0801266
IA
Enumeration date
01/18/2006
Last updated
12/21/2009
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