Organization
MARENGO MEMORIAL HOSPITAL
Active
Parent organization
MARENGO MEMORIAL HOSPITAL
Other names
Williamsburg Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARENGO MEMORIAL HOSPITAL
Authorized official
BARRY G GOETTSCH FACHE (CEO)
(319) 642-5543
Entity
Organization
Contact information
Practice address
498 N HIGHLAND ST., WILLIAMSBURG, IA 52361-9695
(319) 668-6789
(319) 668-6791
Mailing address
300 W MAY ST, MARENGO, IA 52301-1261
(319) 642-8160
(319) 642-8069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/26/2013
Last updated
01/21/2020
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