NPIMap

Organization Active NPI

Delaware County Memorial Hospital

Doing business as Regional Family Health-Strawberry Point

  • Family Medicine Physician
  • Strawberry Point, IA
National Provider Identifier
1811039886
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DELAWARE COUNTY MEMORIAL HOSPITAL
Doing business as
Regional Family Health-Strawberry Point
Practice address
111 E Mission St
Strawberry Point, IA 52076
Phone
(563) 933-7720
Fax
(563) 933-6277
NPI assigned
Feb 13, 2007
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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) 927-7308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

111 E Mission St
Strawberry Point, IA 52076

Mailing address

PO Box 359
709 W Main St
Manchester, IA 52057-0359
Phone (563) 927-7777

Other identifiers 12

IdentifierTypeStateIssuer
52057B001OtherTRICARE
0638627MedicaidIN
52057A001OtherTRICARE
52076A001OtherTRICARE
0056986MedicaidIA
2166546MedicaidIA
27553OtherBLUE SHIELD STRAWBERRY PT
421158372OtherUNITED HEALTHCARE
0166546MedicaidIA
421158372OtherMIDLAND CHOICE
52076B001OtherTRICARE
55409OtherBLUE SHIELD MANCHESTER

Other names 1

  • Regional Family Health-Strawberry Point Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000261 IA Part A Provider - Rural Health Clinic 2062316375 Practice locations: Strawberry Point, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811039886. Details of each certification follow.

Rural health clinic certification: CCN 168528

Legal name
DELAWARE COUNTY MEMORIAL HOSPITAL
Doing business as
REGIONAL FAMILY HEALTH STRAWBERRY POINT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2009
Last certification
Mar 25, 2021
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
111 East Mission
Strawberry Point, IA 52076-0034
Related CCNs
161343

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

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

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
16D0386278Regional Family Health Strawberry Point111 East Mission Street, Strawberry Point, IA 52076Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Delaware County Hosp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathy Swift Individual Corporate DirectorBoard Member Jan 2, 2023
John Zietlow Individual Corporate DirectorBoard Member Aug 19, 2024 100%
Delaware County Memorial Hospital Organization, Manchester, IA Operational/Managerial Control Apr 1, 2009
Jane Candace Sherman Individual Corporate DirectorBoard Member Jan 2, 2023
Cathy Lilienthal Individual Corporate DirectorBoard Member Sep 18, 2017
Steve H Palmer Individual Corporate OfficerBoard Member Jun 1, 2004
Danette R Kramer Individual Corporate OfficerCfo Jan 1, 2000 100%
W-2 Managing EmployeeCfo Apr 1, 2009
Joe D Keith Individual Corporate OfficerBoard Member Jan 2, 2001
Chris Tegeler Individual Corporate OfficerBoard Member Jul 1, 2008

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional Medical CenterManchester, IA, CCN 161343 Hospital Operational/Managerial Control Aug 28, 2013
Regional Medical CenterManchester, IA, CCN 16Z343 Hospital Operational/Managerial Control Aug 28, 2013
Regional Family Health EdgewoodEdgewood, IA, CCN 168531 Rural health clinic Operational/Managerial Control Jan 1, 1966
Regional Family Health HopkintonHopkinton, IA, CCN 168529 Rural health clinic Operational/Managerial Control Apr 1, 2009
Regional Family Health ManchesterManchester, IA, CCN 168530 Rural health clinic Operational/Managerial Control (100%) Apr 1, 2009
Regional Family Health WinthropWinthrop, IA, CCN 168554 Rural health clinic Operational/Managerial Control (100%) Aug 1, 1966

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1811039886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "address_2": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359",
            "telephone_number": "563-927-7777",
            "fax_number": "563-927-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "52076",
            "telephone_number": "563-933-7720",
            "fax_number": "563-933-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "BUTIKOFER",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-927-7308"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "52057B001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638627",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "52057A001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "52076A001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056986",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166546",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD STRAWBERRY PT",
            "identifier": "27553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "421158372",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166546",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE",
            "identifier": "421158372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "52076B001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MANCHESTER",
            "identifier": "55409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Family Health-Strawberry Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strawberry Point, IA

Sources for this page

Verify at the official NPI Registry.