| Delaware County Memorial Hospital | |
|
345 1st St S Winthrop IA 50682-9759 | |
| (319) 935-3343 | |
| (319) 935-3331 |
| Full Name | Delaware County Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 345 1st St S, Winthrop, Iowa |
| Authorized Official Name and Position | Lon Butikofer (CEO) |
| Authorized Official Contact | 5639277308 |
| 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 345 1st St S Winthrop IA 50682-9759 Ph: (319) 935-3343 |
| NPI Number | 1154474609 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 2062316375 |
|---|---|
| Medicare Enrollment ID | O20120416000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154474609 | NPI | - | NPPES |
| 0218305 | Medicaid | IA | |
| 421213909 | Other | IA | COMMERCIAL CARRIERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 280123H (Iowa) | Primary |