SPENCER MUNICIPAL HOSPITAL (NPI# 1871580662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871580662 |
| Entity Type | Organization |
| Organization Name | SPENCER MUNICIPAL HOSPITAL |
| Other Organization Name | HOSPICE OF SPENCER HOSPITAL |
| Practice Address |
116 E 11th St Spencer IA 51301-4300 |
| Mailing Address |
1200 1st Ave E Spencer IA 51301-4330 |
| Practice Telephone | 7122646380 |
| Practice Fax Number | 7122646470 |
| Mailing Telephone | 7122646111 |
| Mailing Fax Number | 7122646404 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | WILLIAM J BUMGARNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7122646111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 37H | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0615336 | 05 |
| Other Name | Type Code |
|---|---|
| Hospice of Spencer Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
| 1760479554 | Spencer Municipal Hospital | Clinic/Center | 3150 18th St, Spirit Lake, IA 51360-7468 | 2005-10-05 |
| 1396732186 | Spencer Municipal Hospital | Clinic/Center | 2004 Okoboji Ave, Milford, IA 51351-1271 | 2005-10-05 |
| 1538156039 | Spencer Municipal Hospital | Clinic/Center | 113 2nd St, Sioux Rapids, IA 50585-2057 | 2005-09-30 |
| 1821619479 | Spencer Municipal Hospital | Otolaryngology | 920 Grand Ave, Spencer, IA 51301-3641 | 2020-05-05 |
| 1578108478 | Spencer Municipal Hospital | Podiatrist | 1200 1st Ave E Ste C, Spencer, IA 51301-4342 | 2019-11-14 |
| 1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
| 1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| Street Address |
116 E 11TH ST |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760605 | John Benjamin Synhorst II | Dentist | 116 E 11th St, Ste 201, Spencer, IA 51301-4363 | 2005-06-15 |
| 1467821116 | Briana Wetrich | Physician Assistant | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2015-09-23 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1720401961 | Megan Vanotterloo | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2014-01-23 |
| 1225468812 | Karen Potaczek, D.d.s., P.C. | Oral & Maxillofacial Surgery | 116 E 11th St, Suite 201, Spencer, IA 51301-4393 | 2013-11-18 |
| 1386938926 | Hilary L Kerrick | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2011-05-31 |
| 1144534702 | Avera Home Medical Equipment of Spencer Hospital LLC | Durable Medical Equipment & Medical Supplies | 116 E 11th St, Suite 104, Spencer, IA 51301-4300 | 2010-08-05 |
| 1669793808 | David Stephen Keith | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-06-22 |
| 1124344833 | Travis J. Witt | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-04-20 |
| 1003046939 | Kathi Kae Heckert | Nurse Practitioner | 116 E 11th St, Ste 101, Spencer, IA 51301-4300 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659786259 | St Croix Hospice LLC | Hospice Care, Community Based | 1015 S Grand Ave, Spencer, IA 51301-5722 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
| 1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
| 1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
| 1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
| 1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
| 1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
| 1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
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| 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.