Healthcare Provider Details

I. General information

NPI: 1932039997
Provider Name (Legal Business Name): DUBUQUE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 ROOSEVELT ST
DUBUQUE IA
52001-1479
US

IV. Provider business mailing address

2375 ROOSEVELT ST
DUBUQUE IA
52001-1479
US

V. Phone/Fax

Practice location:
  • Phone: 563-583-1781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE ETTEMA
Title or Position: ADMINISTRATOR
Credential:
Phone: 563-583-1781