# MARENGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARENGO MEMORIAL HOSPITAL
- **Other names:** Marengo Family Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043375132
- **Legal business name:** MARENGO MEMORIAL HOSPITAL
- **Authorized official:** BARRY G GOETTSCH (CEO)
- **Authorized official phone:** (319) 642-5543

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 01/21/2020