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MADISON COUNTY MEMORIAL HOSPITAL
NPI 1093929390
Clinic/Center - Primary Care in Winterset, IA

Active since May 09, 2007CLIA 16D0664975 · Certificate of Compliance
300 W HUTCHINGS ST, WINTERSET, IA 50273(515) 462-2373(515) 462-9060 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison County Memorial Hospital NPPES

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

MADISON COUNTY MEMORIAL HOSPITAL (NPI 1093929390), doing business as Health Trust Physicians Clinic, is a healthcare organization registered as a primary care in Winterset, Iowa and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2028 and lists Marcia L. Hendricks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093929390
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMADISON COUNTY MEMORIAL HOSPITAL
Location Address300 W HUTCHINGS STWinterset, IA 50273-2104
Mailing Address300 W Hutchings StWinterset, IA 50273-2104 · (515) 462-2373 · Fax (515) 462-9060
Phone(515) 462-2373
Fax(515) 462-9060
Organization SubpartYesParent: Madison Co Memorial Hospital
Authorized OfficialMarcia L. HendricksCeo · (515) 462-2373
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1093929390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
300 W HUTCHINGS ST, Winterset, IA 50273
Open in Google Maps ↗

Other Names 1

Doing Business AsHealth Trust Physicians Clinic

Other Identifiers 1

Medicaid0221283IA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Madison County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 8 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner23
Family Practice6
Internal Medicine3
Pulmonary Disease2
Cardiovascular Disease (Cardiology)1
Emergency Medicine1
General Surgery1
Hand Surgery1
5 other specialties5

Nearest to this location (20)

See all 43
Kevin Deregnier, DO
Family Practice
NPI 1184708687
300 W. HUTCHINGS ST.
Winterset, IA 50273
(515) 462-2950
✔ PECOS✔ Accepts MedicareSame address
Teri Formanek, M.D.
Hand Surgery
NPI 1982644993
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 462-2373
✔ PECOS✔ Accepts MedicareSame address
Laura Hagen, ARNP
Nurse Practitioner
NPI 1912542614
300 W HUTCHINGS ST
Winterset, IA 50273
(641) 462-2373
✔ PECOS✔ Accepts MedicareSame address
Virginia Hawthorne, ARNP
Nurse Practitioner
NPI 1265917140
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 739-0086
✔ PECOS✔ Accepts MedicareSame address
Amy Kimball, DO
Pediatric Medicine
NPI 1417069956
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 462-2950
✔ PECOSSame address
Joseph Kimball, DO
Family Practice
NPI 1447362991
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 462-2950
✔ PECOS✔ Accepts MedicareSame address
Savannah Marker, DO
Family Practice
NPI 1194392829
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 462-2950
✔ PECOS✔ Accepts MedicareSame address
Jonathan Suddarth, DO
Family Practice
NPI 1164534566
300 W HUTCHINGS ST
Winterset, IA 50273
(515) 462-2373
✔ PECOS✔ Accepts MedicareSame address
Alivia Passet, DPM
Podiatry
NPI 1912573445
5950 UNIVERSITY AVE STE 160
West Des Moines, IA 50266
(515) 875-9876
✔ PECOS✔ Accepts Medicare22 mi
Matthew Mccormick, M.D.
Cardiovascular Disease (Cardiology)
NPI 1922121953
5880 UNIVERSITY AVE STE 102
West Des Moines, IA 50266
(515) 633-3600
✔ PECOS✔ Accepts Medicare22 mi
Amy Hughes, DO
Medical Oncology
NPI 1437262086
12495 UNIVERSITY AVE STE 200
Clive, IA 50325
(515) 282-2921
✔ PECOS✔ Accepts Medicare22 mi
Molly Hennigar, ARNP
Nurse Practitioner
NPI 1417500364
609 SE KENT ST
Greenfield, IA 50849
(641) 743-6189
✔ PECOS✔ Accepts Medicare23 mi
Ambrose Munro, MD
Family Practice
NPI 1316392723
1525 GRAND AVE
West Des Moines, IA 50265
(515) 226-0112
✔ PECOS✔ Accepts Medicare23 mi
Ann Gonnerman, ARNP
Nurse Practitioner
NPI 1629410642
6601 SW 9TH ST
Des Moines, IA 50315
(515) 643-9400
✔ PECOS✔ Accepts Medicare24 mi
Kathleen Evans, CRNA
Nurse Practitioner
NPI 1497839252
1700 W TOWNLINE ST
Creston, IA 50801
(641) 782-7091
✔ PECOS✔ Accepts Medicare26 mi
Paul Grossmann, MD
General Surgery
NPI 1750357224
411 LAUREL ST SUITE 2100
Des Moines, IA 50314
(515) 247-3266
✔ PECOS✔ Accepts Medicare28 mi
Eric Asbe, DO
Internal Medicine
NPI 1629420989
411 LAUREL ST STE A120
Des Moines, IA 50314
(515) 643-7900
✔ PECOS✔ Accepts Medicare28 mi
Omar Jaradat, MD
Pulmonary Disease
NPI 1447770276
411 LAUREL ST STE A120
Des Moines, IA 50314
(515) 643-7900
✔ PECOS✔ Accepts Medicare28 mi
Daniel Moyse, M.D.
Interventional Pain Management
NPI 1508155524
411 LAUREL ST STE 3170
Des Moines, IA 50314
(515) 283-0463
✔ PECOS✔ Accepts Medicare28 mi
Usha Chhatlani, M.D.
Psychiatry
NPI 1669891719
1111 6TH AVE
Des Moines, IA 50314
(515) 247-4240
✔ PECOS✔ Accepts Medicare28 mi
See all 43 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 16D0664975

Madison County Memorial Hospital · Winterset, IA
Active · expires Mar 31, 2028
CLIA Number16D0664975
Laboratory TypeHospital
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorJoseph P. Mitros
Laboratory Phone(515) 462-5209
Laboratory LocationMadison County Memorial Hospital300 W Hutchings, Winterset, IA 50273
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Madison County Memorial Hospital's NPI number?

The NPI number for Madison County Memorial Hospital is 1093929390. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Health Trust Physicians Clinic.

Where is Madison County Memorial Hospital located?

Madison County Memorial Hospital is located at 300 W Hutchings St, Winterset, IA 50273. The listed phone number is (515) 462-2373.

What is Madison County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Madison County Memorial Hospital enrolled in Medicare?

Yes. Madison County Memorial Hospital is registered in the Medicare PECOS enrollment system.

Does Madison County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0664975) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison County Memorial Hospital was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.