# AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144534702
- **Authorized official:** SANDRA D DIELEMAN (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-1872

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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) | 1-21-008187 | IA | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 06/25/2026