| Organization Name: | DELAWARE COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1356726475 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LON BUTIKOFER (CEO) |
| Mailing Address: | 613 W Main St Manchester |
| State: | IA US |
| Postal Code: | 520571527 |
| Phone Number: | 5639277353 |
| Fax Number: | 5639277520 |
| NPI Enumeration Date: | 07/30/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |