Spencer Municipal Hospital
Non-Pharmacy Dispensing Site in Spencer, IA. Organization (NPI-2).
NPI number1982113163
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1982113163
- Entity type
- Organization (NPI-2)
- Legal business name
- Spencer Municipal Hospital
- Organization subpart
- No
- Enumeration date
- Sep 20, 2017
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 571 | IA | Yes |
Practice location
1200 1st Ave ESpencer, IA 51301-4342
Phone 712-264-6391 · Fax 952-653-2540
Mailing address
6501 City West PkwyEden Prairie, MN 55344-3248
Phone 952-653-2565 · Fax 952-653-2540
Authorized official
Brenda Tiefenthaler
Ceo
7122646391
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