| Organization Name: | FORT MADISON HEALTH CENTER, INC. |
| NPI Number: | 1063879203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISOPHER L MCKAY (ADMINISTRATOR) |
| Mailing Address: | 1702 41st St Fort Madison |
| State: | IA US |
| Postal Code: | 526273269 |
| Phone Number: | 3193728021 |
| Fax Number: | 3193728163 |
| NPI Enumeration Date: | 01/19/2016 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |