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Organization

AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

Active
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Organization

AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA D DIELEMAN (PRESIDENT/CEO)
(605) 322-1872
Entity
Organization

Contact information

Practice address
1019 S GRAND AVE STE 5 1/2, SPENCER, IA 51301-5739
(712) 580-3923
Mailing address
1019 S GRAND AVE STE 5 1/2, SPENCER, IA 51301-5739
(712) 580-3923
(712) 580-3921

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1-21-008187
IA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1-21-008187
IA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1-21-008187
IA

Other

Enumeration date
08/05/2010
Last updated
06/25/2026
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