THE MADISON
NPI 1063879203
Nurse Practitioner - Gerontology in Fort Madison, IA

Active since January 19, 2016CLIA 16D0387410 · Waiver
1702 41ST ST, FORT MADISON, IA 52627(319) 372-8021(319) 372-8163 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Madison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MADISON (NPI 1063879203) is a healthcare organization registered as a gerontology in Fort Madison, Iowa and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Chrisopher L Mckay, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063879203
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameFORT MADISON HEALTH CENTER, INC.
Location Address1702 41ST STFort Madison, IA 52627-3269
Mailing Address1702 41st StFort Madison, IA 52627-3269 · (319) 372-8021 · Fax (319) 372-8163
Fax(319) 372-8163
Organization SubpartNo
Authorized OfficialChrisopher L MckayAdministrator · (319) 372-8021
Enumeration DateJanuary 19, 2016
NPI 1063879203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
1702 41ST ST, Fort Madison, IA 52627

Other Names 1

Doing Business AsThe Madison

Other Identifiers 1

Medicare OSCAR/certification165227IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0387410

Fort Madison Health Center · Fort Madison, IA
Active · expires Aug 31, 2026
CLIA Number16D0387410
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKari Harmon
Laboratory Phone(319) 372-8021
Laboratory LocationFort Madison Health Center1702 41st Street, Fort Madison, IA 52627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1702 41ST ST
FORT MADISON, IA 52627
Skilled Nursing Facility
1702 41ST ST
FORT MADISON, IA 52627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Madison Health Center, Inc.'s NPI number?

The NPI number for Fort Madison Health Center, Inc. is 1063879203. It was assigned to this organization in the NPPES registry on January 19, 2016. The provider is doing business as The Madison.

Where is Fort Madison Health Center, Inc. located?

Fort Madison Health Center, Inc. is located at 1702 41st St, Fort Madison, IA 52627. The listed phone number is (319) 372-8021.

What is Fort Madison Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Fort Madison Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0387410) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Madison Health Center, Inc. was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.