Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Regional Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
LON BUTIKOFER RN, PHD (CEO)
(563) 927-7308
Entity
Organization
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-3232
(563) 927-7518
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-3232
(563) 927-7518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056986
—
IA
05
—
0166546
—
IA
01
—
55409
BLUE SHIELD, MANCHESTER
IA
01
—
CN2597
RAILROAD MEDICARE
IA
Enumeration date
03/23/2009
Last updated
04/27/2012
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