DELAWARE COUNTY MEMORIAL HOSPITAL (NPI# 1528209483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528209483 |
Entity Type | Organization |
Organization Name | DELAWARE COUNTY MEMORIAL HOSPITAL |
Other Organization Name | REGIONAL FAMILY HEALTH |
Practice Address |
709 W Main St Manchester IA 52057-1526 |
Practice Telephone | 5639273232 |
Practice Fax Number | 5639277518 |
Mailing Telephone | 5639273232 |
Mailing Fax Number | 5639277518 |
Enumeration Date | 2009-03-23 |
Last Update Date | 2012-04-27 |
Authorized Official Name | LON BUTIKOFER (CEO) |
Authorized Official Telephone | 5639277308 |
Authorized Official Credential | RN, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | BLUE SHIELD, MANCHESTER | 55409 | 01 |
IA | 0056986 | 05 | |
IA | 0166546 | 05 | |
IA | RAILROAD MEDICARE | CN2597 | 01 |
Other Name | Type Code |
---|---|
Regional Family Health | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811039886 | Delaware County Memorial Hospital | Family Medicine | 111 E Mission St, Strawberry Point, IA 52076 | 2007-02-13 |
1497824353 | Delaware County Memorial Hospital | Clinic/Center | 122 First Street Sw, Hopkinton, IA 52237 | 2006-11-07 |
1073606737 | Delaware County Memorial Hospital | General Acute Care Hospital | 501 North Lansdowne Avenue, Drexel Hill, PA 19026 | 2006-10-02 |
1356726475 | Delaware County Memorial Hospital | Public Health or Welfare | 613 W Main St, Manchester, IA 52057-1527 | 2015-07-30 |
1386786648 | Delaware County Memorial Hospital | Ambulance | 501 North Lansdowne Avenue, Drexel Hill, PA 19026-1114 | 2007-02-13 |
1154474609 | Delaware County Memorial Hospital | Clinic/Center | 345 1st St S, Winthrop, IA 50682-9759 | 2007-01-19 |
1932261278 | Delaware County Memorial Hospital | Clinic/Center | 501 North Lansdowne Avenue, Drexel Hill, PA 19026-1114 | 2006-12-14 |
1871662163 | Delaware County Memorial Hospital | Clinic/Center | 702 W Union St, Edgewood, IA 52042-8187 | 2006-11-08 |
1659440931 | Delaware County Memorial Hospital | Clinic/Center | 317 Main St, Colesburg, IA 52035 | 2006-11-08 |
1235208422 | Delaware County Memorial Hospital | Ambulance | 709 W Main St, Manchester, IA 52057-1526 | 2006-11-06 |
Street Address |
709 W MAIN ST |
City | MANCHESTER |
State | IA |
Zip Code | 52057-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255339800 | C. Dan Meyer | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2005-07-08 |
1407454044 | Derek Manson Dzaboff | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-10-15 |
1063033413 | Nicole Brehm | Social Worker | 709 W Main St, Manchester, IA 52057-1526 | 2020-04-27 |
1225666894 | Kaitlin Rose Reece | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-03-30 |
1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
1609306398 | Cara Paris | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-14 |
1114456308 | Jodi Helle | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-09 |
1659800480 | Stephanie Gudenkauf | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-06 |
1124552591 | Molly Olson | Family Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2017-04-12 |
1548615206 | Joshua C Mann | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2016-05-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
Find all providers in zip 52057 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
1851765481 | Family Health Care Associates | Clinic/Center | 359 Old Us Highway 421 Unit B, Manchester, KY 40962-7538 | 2015-11-19 |
1811941008 | Steven D. Spady | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2006-05-20 |
1477184968 | Memorial Hospital Inc | Clinic/Center | 515 Memorial Dr Ste 2, Manchester, KY 40962-9157 | 2020-02-03 |
1548766025 | Woodland Wellness, Inc | Clinic/Center | 115 N Woodland St, Manchester, TN 37355-1573 | 2018-04-03 |
1700192028 | Coffee Medical Group LLC | Clinic/Center | 1615 Mcminnville Hwy, Manchester, TN 37355-3179 | 2010-08-24 |
1043537046 | Coffee Medical Group LLC | Clinic/Center | 482 Interstate Dr, Suite A, Manchester, TN 37355-3109 | 2010-04-29 |
1851541197 | Memorial Hospital | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2008-09-23 |
1255527040 | Kathryn A Phillips | Clinic/Center | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2007-09-14 |
1003021858 | Glenn A Davis, Md (rhc) | Clinic/Center | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2007-05-14 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 52057 |
Please comment or provide details below to improve the information on DELAWARE COUNTY MEMORIAL HOSPITAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.