Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Regional Family Health-Manchester
Organization subpart
No
Provider details
NPI number
Authorized official
LON BUTIKOFER (CEO)
(563) 927-7308
Entity
Organization
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-2629
(563) 927-5247
Mailing address
709 W MAIN ST, PO BOX 359, MANCHESTER, IA 52057-1526
(563) 927-2629
(563) 927-5247
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
—
0257899
—
IA
05
—
0638858
—
IA
Enumeration date
07/06/2006
Last updated
08/15/2011
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