NPIMap

Organization Active NPI

Marengo Memorial Hospital

Doing business as Brooklyn Family Medical Clinic

  • Rural Health Clinic/Center
  • Brooklyn, IA
National Provider Identifier
1861329203
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARENGO MEMORIAL HOSPITAL
Doing business as
Brooklyn Family Medical Clinic
Practice address
128 Jackson St
Brooklyn, IA 52211-7711
Phone
(641) 522-7221
Fax
(641) 522-5816
NPI assigned
May 7, 2026
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARENGO MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Barry G Goettsch
Title
Ceo
Phone
(319) 642-8160

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

128 Jackson St
Brooklyn, IA 52211-7711

Mailing address

300 W May St
Marengo, IA 52301-1261
Phone (319) 642-8160

Other names 1

  • BROOKLYN FAMILY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marengo Mem Hosp ER Phy9 organizations share this tax ID, including this one
Part of
Marengo Mem Hosp ER Phy

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1861329203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAY ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011261",
            "telephone_number": "319-642-8160",
            "fax_number": "319-642-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 JACKSON ST",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522117711",
            "telephone_number": "641-522-7221",
            "fax_number": "641-522-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGO MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARENGO MEMORIAL HOSPITAL",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "GOETTSCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-642-8160"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKLYN FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.