# SPENCER MUNICIPAL HOSPITAL

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

## Provider details

- **NPI number:** 1255328621
- **Authorized official:** BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (712) 264-6111

## Contact information

- **Practice address:** 1200 1ST AVE E, SPENCER, IA 51301-4330
- **Practice address phone:** (712) 264-6111
- **Practice address fax:** (712) 264-6404
- **Mailing address:** 1200 1ST AVE E, SPENCER, IA 51301-4330
- **Mailing address phone:** (712) 264-6111
- **Mailing address fax:** (712) 264-6404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 37H | IA | Yes |
| 341600000X | Ambulance | 2210100 | IA | — |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 10/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0110411 | — | IA |
| 05 | — | 0212753 | — | IA |
| 05 | — | 0601120 | — | IA |