Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Regional Family Health-Edgewood
Organization subpart
No
Provider details
NPI number
Authorized official
LON BUTIKOFER (CEO)
(563) 927-7308
Entity
Organization
Contact information
Practice address
702 W UNION ST, EDGEWOOD, IA 52042-8187
(563) 928-7191
(563) 928-7090
Mailing address
709 W MAIN ST, PO BOX 359, MANCHESTER, IA 52057-1526
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689380
—
IA
Enumeration date
11/08/2006
Last updated
12/17/2014
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