NPIMap

Organization Active NPI

Delaware County Memorial Hospital

  • Home Infusion Agency
  • Manchester, IA
National Provider Identifier
1700849700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
DELAWARE COUNTY MEMORIAL HOSPITAL
Practice address
709 W Main St
Manchester, IA 52057-1526
Phone
(563) 927-7303
Fax
(563) 927-7444
NPI assigned
Apr 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Lon Butikofer, RN, PHD
Title
Ceo
Phone
(563) 927-3232

Corporate family (same tax ID) 11

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

National Provider Directory

National Provider Directory
Tax ID family
Delaware County Hosp (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

709 W Main St
Manchester, IA 52057-1526

Mailing address

709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-7303

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
36546OtherIABCIA

Other names 1

NPPES NPI Registry
  • Home Fusion Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700849700",
    "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": "563-927-7303",
            "fax_number": "563-927-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7303",
            "fax_number": "563-927-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTIKOFER",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-927-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PHD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCIA",
            "identifier": "36546",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Fusion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.