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NPI Code Detail

MEDICARE: DELAWARE COUNTY MEMORIAL HOSPITAL

MEDICARE: DELAWARE COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital280123HIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
260009OTHERIABC/BS OF IOWA PROVIDER #

General Provider Information

NPI Number : 1750354676
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELAWARE COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 709 W MAIN ST
Second Line : PO BOX 359
City : MANCHESTER
State : IA
Zip : 52057-1526
Country : US
Telephone Number : 563-927-3232
Fax Number :
Provider Business Practice Location Address
First Line : 709 W MAIN ST
Second Line :
City : MANCHESTER
State : IA
Zip : 52057-1526
Country : US
Telephone Number : 563-927-3232
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. LON BUTIKOFER
Credential : RN, PHD
Telephone Number : 563-927-3232
Provider Enumeration Date : 02/10/2006
Last Update Date : 09/27/2013

Similar Medicare Providers

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1174521777 — JANICE M BUDZINE ARNP
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Directions to “DELAWARE COUNTY MEMORIAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.