Healthcare Provider Details

I. General information

NPI: 1255866687
Provider Name (Legal Business Name): UNITYPOINT HEALTH - MARSHALLTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 S 4TH AVE
MARSHALLTOWN IA
50158-2924
US

IV. Provider business mailing address

55 UNITYPOINT WAY
MARSHALLTOWN IA
50158-4749
US

V. Phone/Fax

Practice location:
  • Phone: 641-754-5151
  • Fax:
Mailing address:
  • Phone: 641-754-5145
  • Fax: 641-844-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: PAMELA K DELAGARDELLE
Title or Position: CEO
Credential:
Phone: 319-235-3606