Organization
SPENCER MUNICIPAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6404
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6404
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
37H
IA
341600000X
Ambulance
2210100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110411
—
IA
05
—
0212753
—
IA
05
—
0601120
—
IA
Enumeration date
09/30/2005
Last updated
10/10/2023
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