NPIMap

Organization Active NPI

Spencer Municipal Hospital

Doing business as Milford Family Care

  • Clinic/Center
  • Milford, IA
National Provider Identifier
1396732186
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
37H Issued in IA
Legal business name
SPENCER MUNICIPAL HOSPITAL
Doing business as
Milford Family Care
Practice address
2004 Okoboji Ave
Milford, IA 51351-1271
Phone
(712) 338-2461
Fax
(712) 262-2310
NPI assigned
Oct 5, 2005
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
Chief Executive Officer
Phone
(712) 264-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 37H IA Primary

Addresses

Primary practice location

2004 Okoboji Ave
Milford, IA 51351-1271

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0270744MedicaidIA

Other names 1

  • Milford Family Care 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
Practice locations: Sioux Rapids, IA; Spencer, IA; Milford, IA; Hartley, IA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
16D0385538Milford Family Care2004 Okoboji Avenue, Milford, IA 51351AccreditationAug 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 191

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 191

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1396732186",
    "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": "2004 OKOBOJI AVE",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513511271",
            "telephone_number": "712-338-2461",
            "fax_number": "712-262-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "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": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "712-264-6111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "37H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270744",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milford Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, 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.