DELAWARE COUNTY MEMORIAL HOSPITAL (NPI# 1881657948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881657948 |
| Entity Type | Organization |
| Organization Name | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | REGIONAL MEDICAL CENTER |
| Practice Address |
709 W Main St Manchester IA 52057-1526 |
| Practice Telephone | 5639273232 |
| Practice Fax Number | 5639277577 |
| Mailing Telephone | 5639273232 |
| Mailing Fax Number | 5639277577 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | DR. LON BUTIKOFER (CEO) |
| Authorized Official Telephone | 5639273232 |
| Authorized Official Credential | RN, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0655720 | 05 | |
| IA | BCIA | 66009 | 01 |
| Other Name | Type Code |
|---|---|
| Regional Medical Center | 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 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215941646 | Coffee County Hospital Group, Inc | General Acute Care Hospital | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-07-29 |
| 1750354676 | Delaware County Memorial Hospital | General Acute Care Hospital | 709 W Main St, Manchester, IA 52057-1526 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
| 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.