# SPENCER MUNICIPAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NWIA Bone, Joint & Sports Surgeons, a department of Spencer Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578108478
- **Authorized official:** BRENDA TIEFENTHALER (CEO)
- **Authorized official phone:** (712) 264-6111

## Contact information

- **Practice address:** 1200 1ST AVE E STE C, SPENCER, IA 51301-4342
- **Practice address phone:** (712) 262-7511
- **Practice address fax:** (712) 262-3658
- **Mailing address:** 1200 1ST AVE E STE C, SPENCER, IA 51301-4342
- **Mailing address phone:** (712) 262-7511
- **Mailing address fax:** (712) 262-3658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 11/14/2019
- **Last updated:** 10/11/2023