DELAWARE COUNTY MEMORIAL HOSPITAL (NPI# 1871662163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871662163 |
Entity Type | Organization |
Organization Name | DELAWARE COUNTY MEMORIAL HOSPITAL |
Other Organization Name | REGIONAL FAMILY HEALTH-EDGEWOOD |
Practice Address |
702 W Union St Edgewood IA 52042-8187 |
Mailing Address |
709 W Main St Po Box 359 Manchester IA 52057-1526 |
Practice Telephone | 5639287191 |
Practice Fax Number | 5639287090 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2014-12-17 |
Authorized Official Name | LON BUTIKOFER (CEO) |
Authorized Official Telephone | 5639277308 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0689380 | 05 |
Other Name | Type Code |
---|---|
Regional Family Health-Edgewood | Doing Business As Name - 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 |
1528209483 | Delaware County Memorial Hospital | Family Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2009-03-23 |
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 |
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 |
702 W UNION ST |
City | EDGEWOOD |
State | IA |
Zip Code | 52042-8187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417955089 | Scot R Christiansen | Family Medicine | 702 W Union St, Edgewood, IA 52042-8187 | 2005-07-08 |
1831759943 | Desiree Marie Steger | Nurse Practitioner | 702 W Union St, Edgewood, IA 52042-8187 | 2019-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083849939 | Amy Lynn Gassmann | Physical Therapist | 104 W. Union St., Edgewood, IA 52042 | 2009-05-21 |
1972671493 | Family Medicine Associates PC | Family Medicine | 101 South Washington, Edgewood, IA 52042 | 2006-12-01 |
1831441096 | Guttenberg Municipal Hospital | Clinic/Center | 101 S Washington St, Edgewood, IA 52042 | 2012-10-11 |
1306064639 | Edgewood Convalescent Home Inc | Assisted Living Facility | 302 W Lincoln, Edgewood, IA 52042-0039 | 2007-04-23 |
1497715494 | Edgewood Convalescent Home | Skilled Nursing Facility | 513 Bell St, Edgewood, IA 52042-0039 | 2006-03-24 |
1215155544 | Edgewood Convalescent Home Inc | Skilled Nursing Facility | 513 Bell St, Edgewood, IA 52042-0039 | 2007-04-23 |
1497805691 | Edgewood-colesburg Community School District | Local Education Agency (LEA) | 403 West Union, Edgewood, IA 52042-0316 | 2007-01-11 |
1518952670 | City of Edgewood | Ambulance | 39245 Littleport Rd, Edgewood, IA 52042-8210 | 2005-09-14 |
1912178328 | Kristie Russett | Occupational Therapist | 513 S Bell St, Edgewood, IA 52042-8543 | 2008-03-13 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831441096 | Guttenberg Municipal Hospital | Clinic/Center | 101 S Washington St, Edgewood, IA 52042 | 2012-10-11 |
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1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
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1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
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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.