Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
Milford Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
2004 OKOBOJI AVE, MILFORD, IA 51351-1271
(712) 338-2461
(712) 262-2310
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
37H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270744
—
IA
Enumeration date
10/05/2005
Last updated
10/10/2023
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