Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Regional Family Health-Strawberry Point
Organization subpart
No
Provider details
NPI number
Authorized official
LON BUTIKOFER (CEO)
(563) 927-7308
Entity
Organization
Contact information
Practice address
111 E MISSION ST, STRAWBERRY POINT, IA 52076
(563) 933-7720
(563) 933-6277
Mailing address
PO BOX 359, 709 W MAIN ST, MANCHESTER, IA 52057-0359
(563) 927-7777
(563) 927-7518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056986
—
IA
05
—
0166546
—
IA
05
—
0638627
—
IN
05
—
2166546
—
IA
01
—
27553
BLUE SHIELD STRAWBERRY PT
—
01
—
421158372
UNITED HEALTHCARE
—
01
—
52057A001
TRICARE
—
01
—
52057B001
TRICARE
—
01
—
52076A001
TRICARE
—
01
—
52076B001
TRICARE
—
01
—
55409
BLUE SHIELD MANCHESTER
—
Enumeration date
02/13/2007
Last updated
04/07/2015
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