Organization
SPENCER MUNICIPAL HOSPITAL
Active
Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
Avera@Home of Spencer Hospital, Hospice of Spencer Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
101 E 10TH ST, SPENCER, IA 51301-4307
(712) 264-6380
(712) 264-6470
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6404
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
37H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615336
—
IA
Enumeration date
10/05/2005
Last updated
06/27/2024
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