Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
Warner Dialysis Center- Spirit Lake
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
3150 18TH ST, SPIRIT LAKE, IA 51360-7468
(712) 336-2910
(712) 336-4026
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6404
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
37H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601120
—
IA
Enumeration date
10/05/2005
Last updated
10/10/2023
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