DELAWARE COUNTY MEMORIAL HOSPITAL NPI 1871662163

NPI Information

NPI: 1871662163
Provider Name: DELAWARE COUNTY MEMORIAL HOSPITAL

Doing Business As: REGIONAL FAMILY HEALTH-EDGEWOOD

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
702 W UNION ST
EDGEWOOD, IA
ZIP 52042
Phone: (563) 928-7191
Get Directions

DELAWARE COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Edgewood, IA. DELAWARE COUNTY MEMORIAL HOSPITAL NPI is 1871662163. The provider is registered as an organization entity type.
The provider Is Doing Business As Regional Family Health-edgewood.

The provider's business location address is:

702 W UNION ST
EDGEWOOD, IA
ZIP 52042-187
Phone: (563) 928-7191
Fax: (563) 928-7090

The provider's authorized official is Lon Butikofer .
The authorized official title is Ceo and has the following contact phone number (563) 927-7308.

The CLIA number assigned to this NPI record is 16D0882555 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0689380	MEDICAID	IOWA
2	168531	MEDICARE OSCAR/CERTIFICATION	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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