Organization Name: | MARENGO MEMORIAL HOSPITAL |
NPI Number: | 1053368191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY G GOETTSCH (CEO) |
Mailing Address: | 300 W May St Marengo |
State: | IA US |
Postal Code: | 523011261 |
Phone Number: | 3196425543 |
Fax Number: | 3196428007 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC0050X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Critical Access Hospital |
Taxonomy Definition: | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |