Organization
DELAWARE COUNTY MEMORIAL HOSPITAL
Active
Other names
Backbone Area Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LON BUTIKOFER RN, PHD (CEO)
(563) 927-3232
Entity
Organization
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091637
—
IA
05
—
0279307
—
IA
01
—
09971
BCIA
IA
Enumeration date
04/10/2006
Last updated
01/29/2008
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