NPIMap

Organization Active NPI

Marengo Memorial Hospital

Doing business as Family Medical Clinic of Wellman

  • Rural Health Clinic/Center
  • Wellman, IA
National Provider Identifier
1063364149
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARENGO MEMORIAL HOSPITAL
Doing business as
Family Medical Clinic of Wellman
Practice address
217 8TH Ave Unit 3
Wellman, IA 52356-4708
Phone
(319) 646-6100
NPI assigned
Feb 11, 2026
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARENGO MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barry G Goettsch
Title
Ceo
Phone
(319) 642-8160

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

217 8TH Ave Unit 3
Wellman, IA 52356-4708

Mailing address

300 W May St
Marengo, IA 52301-1261
Phone (319) 642-8160

Other names 1

  • Family Medical Clinic of Wellman Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2338418Family Medical Clinic of Wellman217 - 8TH Ave, Wellman, IA 52356Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Marengo Mem Hosp ER Phy9 organizations share this tax ID, including this one
Part of
Marengo Mem Hosp ER Phy

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1063364149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAY ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011261",
            "telephone_number": "319-642-8160",
            "fax_number": "319-642-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 8TH AVE UNIT 3",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523564708",
            "telephone_number": "319-646-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGO MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARENGO MEMORIAL HOSPITAL",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "GOETTSCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-642-8160"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic of Wellman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellman, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.