Active NPI
Delaware County Memorial Hospital
Doing business as Regional Family Health-Colesburg
- Rural Health Clinic/Center
- Colesburg, IA
National Provider Identifier
1659440931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- DELAWARE COUNTY MEMORIAL HOSPITAL
- Doing business as
- Regional Family Health-Colesburg
- Practice address
- 317 Main St
Colesburg, IA 52035 - Phone
- (563) 856-2151
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lon Butikofer
- Title
- Ceo
- Phone
- (563) 927-7508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
317 Main St
Colesburg, IA 52035
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0689406 | Medicaid | IA |
Other names 1
- Regional Family Health-Colesburg
National Provider Directory
National Provider Directory- Tax ID family
- Delaware County Memorial Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Regional Family Health-Hopkinton
- Rural Health Clinic/Center
- Hopkinton, IA
- NPI 1497824353
-
dba Regional Family Health-Edgewood
- Rural Health Clinic/Center
- Edgewood, IA
- NPI 1871662163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1659440931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 MAIN ST",
"city": "COLESBURG",
"state": "IA",
"postal_code": "52035",
"telephone_number": "563-856-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "BUTIKOFER",
"authorized_official_first_name": "LON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "563-927-7508"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0689406",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regional Family Health-Colesburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colesburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.