DELAWARE COUNTY MEMORIAL HOSPITAL (NPI# 1982667929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982667929 |
| Entity Type | Organization |
| Organization Name | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BACKBONE AREA COUNSELING CENTER |
| Practice Address |
709 W Main St Manchester IA 52057-1526 |
| Practice Telephone | 5639277330 |
| Practice Fax Number | 5639277409 |
| Mailing Telephone | 5639277330 |
| Mailing Fax Number | 5639277409 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCIA | 09971 | 01 |
| IA | 0091637 | 05 | |
| IA | 0279307 | 05 |
| Other Name | Type Code |
|---|---|
| Backbone Area Counseling 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763273 | Reflective Mental Health Pllc | Clinic/Center | 497 Hooksett Rd Ste 238, Manchester, NH 03104-2632 | 2020-08-31 |
| 1437466216 | Abbe Center for Cmh @ Manchester | Clinic/Center | 721 South 5th St, Manchester, IA 52057-1522 | 2010-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| 1609848811 | The Mental Health Center of Greater Manchester | Clinic/Center | 401 Cypress Street, Manchester, NH 03103 | 2006-02-02 |
| 1982970885 | Katherine I. Thonis, LLC | Clinic/Center | 250 Commercial St, Suite # 1012 B, Manchester, NH 03101-1142 | 2012-03-26 |
| 1346436490 | Advanced Practice Psychiatric Nurses Pllc | Clinic/Center | 61 North St, Manchester, NH 03104-3029 | 2007-09-22 |
| 1093931479 | James J. Foster & Associates, Ltd | Clinic/Center | 540 Chestnut St, Suite 102, Manchester, NH 03101-1447 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454887 | Praxis Girl, PC | Clinic/Center | 4070 Hickory Hill Ln, Cedar Rapids, IA 52403-3739 | 2020-10-16 |
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1285243337 | Ames Creative Healing Counseling | Clinic/Center | 2135 N Dakota Ave, Ames, IA 50014-9016 | 2020-07-24 |
| 1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
| 1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
| 1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
| 1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
| 1568007805 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 200, Osceola, IA 50213-1249 | 2019-11-11 |
| 1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 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.