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Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Backbone Area Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LON BUTIKOFER RN, PHD (CEO)
(563) 927-3232
Entity
Organization
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091637
—
IA
05
—
0279307
—
IA
01
—
09971
BCIA
IA
Enumeration date
04/10/2006
Last updated
01/29/2008
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