NPIMap

Organization Active NPI

Spencer Municipal Hospital

Doing business as Hartley Family Care of Spencer Hospital

  • Clinic/Center
  • Hartley, IA
National Provider Identifier
1225767338
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPENCER MUNICIPAL HOSPITAL
Doing business as
Hartley Family Care of Spencer Hospital
Practice address
231 N 8TH Ave W
Hartley, IA 51346-1077
Phone
(712) 928-1020
Fax
(712) 928-1021
NPI assigned
Jun 6, 2022
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Brenda Tiefenthaler
Title
President/Ceo
Phone
(712) 264-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

231 N 8TH Ave W
Hartley, IA 51346-1077

Mailing address

1200 1St Ave E
Spencer, IA 51301-4330
Phone (712) 264-6111

Other names 1

  • Hartley Family Care of Spencer Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000325 IA Part B Supplier - Clinic/Group Practice 4183533060 Receives reassigned benefits from 185 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux Rapids, IA; Spencer, IA; Milford, IA; Hartley, IA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
16D2265238Hartley Family Care of Spencer Hospital231 N 8TH Ave W, Hartley, IA 51346AccreditationMay 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Internal Medicine Clini14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2004 Okoboji Ave
Milford, IA 51351
Phone (712) 338-2461

101 E 10th St
Spencer, IA 51301
Phone (712) 264-6380

Practitioners & affiliated clinicians

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 183

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1225767338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014330",
            "telephone_number": "712-264-6111",
            "fax_number": "712-264-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N 8TH AVE W",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461077",
            "telephone_number": "712-928-1020",
            "fax_number": "712-928-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "TIEFENTHALER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "712-264-6111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartley Family Care of Spencer Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hartley Family Care of Spencer Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.