Velarion Records

Public registries, as they were filed.

Disproportionate share hospital · IA

Fort Madison Community Hospital

  • 9Registered locations
  • 1Associated locations
  • 24Contract pharmacies
  • 0With no end date
  • 1 July 2014In 340B since

Finances, as filed

No Medicare cost report is recorded for this hospital.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “Fort Madison Community Hospital” (340B ID DSH160122), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/DSH160122

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 July 2014
Termination date
1 October 2021
Termination reason
Other
Certification date
17 August 2020
Record last edited
1 October 2021

Identifiers

340B ID
DSH160122
Entity type as filed
DSH
CMS certification number
160122
Rural
Yes

5445 Avenue O, Fort Madison IA 52627

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
DSH160122AFamily PracticeDSHFORT MADISON, IAFALSE
DSH160122BGeneral SurgeryDSHFORT MADISON, IAFALSE
DSH160122CInternal MedicineDSHFORT MADISON, IAFALSE
DSH160122DOrthopedicsDSHFORT MADISON, IAFALSE
DSH160122EPediatricsDSHFORT MADISON, IAFALSE
DSH160122FPodiatryDSHFORT MADISON, IAFALSE
DSH160122GPsychiatryDSHFORT MADISON, IAFALSE
DSH160122JWomen's CenterDSHFORT MADISON, IAFALSE
DSH160122KFort Madison Community Hospital - Walk-InDSHFORT MADISON, IAFALSE

Associated locations

OrganizationAddressWhere
Fort Madison Community Hospital5445 Avenue OFort Madison IA 52627

Pharmacy contracts

PharmacyWhereBeginsEnds
HERITAGE PARK PHARMACYWEST BURLINGTON, IA1 April 20191 July 2021
HY-VEE PHARMACYKEOKUK, IA1 January 20171 July 2021
HY-VEE PHARMACY (1202)FORT MADISON, IA1 January 20171 July 2021
HY-VEE PHARMACY FULFILLMENT CENTER 4016DES MOINES, IA1 January 20171 July 2021
RASHID PHARMACY PLCFORT MADISON, IA1 April 20171 July 2021
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 April 20201 July 2021
WAL-MART PHARMACY 10-0797WEST BURLINGTON, IA1 January 20171 July 2021
WAL-MART PHARMACY 10-1431KEOKUK, IA1 January 20171 July 2021
WAL-MART PHARMACY 10-5997ORLANDO, FL1 April 20201 July 2021
WALGREEN CO.FORT MADISON, IA1 January 20171 July 2021
WALGREEN CO.KEOKUK, IA1 January 20171 July 2021
WALGREENS SPECIALTY PHARMACY, LLCCANTON, MI1 January 20171 July 2021
SHOPKO PHARMACY #2142FORT MADISON, IA1 January 20174 February 2021
WALGREEN CO.BURLINGTON, IA1 January 201710 April 2018
CYSTIC FIBROSIS SERVICESFRISCO, TX1 January 201724 April 2017
WALGREENS SPECIALTY PHARMACY, LLCFRISCO, TX1 January 201724 April 2017
WALGREENS SPECIALTY PHARMACY, LLCBEAVERTON, OR1 January 201724 April 2017
WALGREENS SPECIALTY PHARMACY, LLCPITTSBURGH, PA1 January 201724 April 2017
RASHID LONG TERM CAREFORT MADISON, IA1 April 20171 April 2017
SHOPKO PHARMACY #2021MANKATO, MN1 January 201720 October 2016
SHOPKO PHARMACY #2066SPOKANE, WA1 January 201720 October 2016
SHOPKO PHARMACY #2070SPOKANE, WA1 January 201720 October 2016
SHOPKO PHARMACY #2092KENNEWWICK, WA1 January 201720 October 2016
SHOPKO PHARMACY #2145MONMOUTH, IL1 January 201720 October 2016

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.