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Organization

MARENGO MEMORIAL HOSPITAL

Active
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Organization

MARENGO MEMORIAL HOSPITAL

Active
Parent organization
MARENGO MEMORIAL HOSPITAL
Other names
Marengo Family Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARENGO MEMORIAL HOSPITAL
Authorized official
BARRY G GOETTSCH (CEO)
(319) 642-5543
Entity
Organization

Contact information

Practice address
300 W MAY ST STE A, MARENGO, IA 52301-1261
(319) 741-6789
(319) 741-6791
Mailing address
300 W MAY ST, MARENGO, IA 52301-1261
(319) 642-8160
(319) 642-8069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02712
IA
207R00000X
Internal Medicine Physician
38260
IA
213E00000X
Podiatrist
00701
IA
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
104766
IA
363LP0200X
Pediatric Nurse Practitioner
109633
IA

Other

Enumeration date
12/27/2006
Last updated
01/21/2020
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