| Delaware County Memorial Hospital | |
|
980 Field Of Dreams Way Dyersville IA 52040-2521 | |
| (563) 875-2147 | |
| (563) 875-2029 |
| Full Name | Delaware County Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 980 Field Of Dreams Way, Dyersville, Iowa |
| Authorized Official Name and Position | Danette Kramer (CFO) |
| Authorized Official Contact | 5639277537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware County Memorial Hospital Po Box 359 Manchester IA 52057-0359 Ph: (563) 927-7457 | Delaware County Memorial Hospital 980 Field Of Dreams Way Dyersville IA 52040-2521 Ph: (563) 875-2147 |
| NPI Number | 1689264756 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/29/2021 |
| Medicare PECOS PAC ID | 2062316375 |
|---|---|
| Medicare Enrollment ID | O20210204001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689264756 | NPI | - | NPPES |
| 1831178060 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |