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General NPI Number Information
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NPI Number | 1861329203
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Entity Type | Organization
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Legal Business Name | MARENGO MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 128 JACKSON ST
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City | BROOKLYN
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State | IA
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Zip | 52211-7711
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Country | US
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Telephone | 641-522-7221
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Fax | 641-522-5816
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Provider Business Mailing Address
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Address Line | 300 W MAY ST
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City | MARENGO
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State | IA
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Zip | 52301-1261
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Country | US
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Telephone | 319-642-8160
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Fax | 319-642-8069
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Authorized Official
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Title or Position | CEO
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Name | BARRY G GOETTSCH
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Credential |
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Telephone | 319-642-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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