Organization
SPENCER MUNICIPAL HOSPITAL
Active
Parent organization
SPENCER MUNICIPAL HOSPITAL
Other names
Nurse Practitioner Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPENCER MUNICIPAL HOSPITAL
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) 264-6414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210037H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601120
—
IA
Enumeration date
01/23/2008
Last updated
10/10/2023
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