Organization
SPENCER MUNICIPAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CEO)
(712) 264-6391
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6391
(952) 653-2540
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2565
(952) 653-2540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
571
IA
Other
Enumeration date
09/20/2017
Last updated
10/10/2023
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