MARENGO MEMORIAL HOSPITAL (NPI# 1053368191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053368191 |
| Entity Type | Organization |
| Organization Name | MARENGO MEMORIAL HOSPITAL |
| Other Organization Name | COMPASS MEMORIAL HEALTHCARE |
| Practice Address |
300 W May St Marengo IA 52301-1261 |
| Practice Telephone | 3196425543 |
| Practice Fax Number | 3196428007 |
| Mailing Telephone | 3196425543 |
| Mailing Fax Number | 3196428007 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. BARRY G GOETTSCH (CEO) |
| Authorized Official Telephone | 3196425543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers | ||
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | HOSPITAL BCBS NUMBER | 60073 | 01 |
| IA | 0164533 | 05 | |
| IA | 0600734 | 05 | |
| IA | PHYSICIAN GROUP BCBS # | 15389 | 01 |
| IA | 0153890 | 05 | |
| IA | PHYSICIAN GROUP MEDICARE# | 15389 | 01 |
| Other Name | Type Code |
|---|---|
| Compass Memorial Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548681216 | Marengo Memorial Hospital | Family Medicine | 498 N Highland St., Williamsburg, IA 52361-9695 | 2013-12-26 |
| 1043375132 | Marengo Memorial Hospital | Family Medicine | 300 W May St Ste A, Marengo, IA 52301-1261 | 2006-12-27 |
| 1235779851 | Marengo Memorial Hospital | Clinic/Center | 402 S Walnut St, North English, IA 52316-9559 | 2020-01-11 |
| 1407349038 | Marengo Memorial Hospital | Pharmacy | 300 W May St, Marengo, IA 52301-1261 | 2018-06-08 |
| 1700088184 | Marengo Memorial Hospital | Ambulance | 355 W Lucas St, Marengo, IA 52301-1270 | 2007-06-05 |
| 1356402929 | Marengo Memorial Hospital | General Acute Care Hospital | 300 W May St, Marengo, IA 52301-1261 | 2006-12-13 |
| 1457368870 | Marengo Memorial Hospital | Clinic/Center | 300 W May St, Marengo, IA 52301-1261 | 2006-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MARENGO MEMORIAL HOSPITAL FOUNDATION | 300 W. May Street, P.o. Box 228, Marengo, IA 52301 |
| Street Address |
300 W MAY ST |
| City | MARENGO |
| State | IA |
| Zip Code | 52301-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637835 | George Maurice Miller Jr. | Surgery | 300 W May St, Marengo, IA 52301-1261 | 2005-05-27 |
| 1548881519 | Riley Bradley | Physical Medicine & Rehabilitation | 300 W May St, Marengo, IA 52301-1261 | 2020-04-30 |
| 1841846383 | Dalton Boland | Physical Therapist | 300 W May St, Marengo, IA 52301-1261 | 2019-08-12 |
| 1639650013 | Andrew Marzocchi | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2018-08-23 |
| 1407349038 | Marengo Memorial Hospital | Pharmacy | 300 W May St, Marengo, IA 52301-1261 | 2018-06-08 |
| 1487189429 | Channon Lawrence Mckibben | Nurse Anesthetist, Certified Registered | 300 W May St, Marengo, IA 52301-1261 | 2017-04-27 |
| 1831572320 | Roseann Lea Nymeyer | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2015-07-02 |
| 1730585860 | Nicole Debrower | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2014-11-17 |
| 1083028377 | Sara Magill | General Practice | 300 W May St, Marengo, IA 52301-1261 | 2014-06-16 |
| 1942632914 | Hannah Marie Keller | Physical Therapist | 300 W May St, Marengo, IA 52301-1261 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382596 | Terry Lee Babor | Dentist | 599 Eastern Ave, Marengo, IA 52301 | 2006-08-09 |
| 1134158934 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1400 Harrison, Quincy, IL 52301 | 2006-07-02 |
| 1336182971 | Mark B. Irland | Family Medicine | 300 W. May St., Marengo, IA 52301 | 2006-06-13 |
| 1295724243 | Mark Allen Siebrecht | Podiatrist | 255 W. Lucas St., Marengo, IA 52301 | 2005-10-20 |
| 1184159378 | Katie Collingwood | Counselor | 398 W South St, Marengo, IA 52301-1231 | 2017-04-25 |
| 1043375132 | Marengo Memorial Hospital | Family Medicine | 300 W May St Ste A, Marengo, IA 52301-1261 | 2006-12-27 |
| 1134539760 | County of Iowa | Ambulance | 355 W Lucas St, Marengo, IA 52301-1270 | 2014-05-05 |
| 1700088184 | Marengo Memorial Hospital | Ambulance | 355 W Lucas St, Marengo, IA 52301-1270 | 2007-06-05 |
| 1578559142 | Rose Haven Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | 1500 Franklyn Ave, Marengo, IA 52301-1312 | 2005-09-20 |
| 1942672613 | Paradym Health Care Inc | Nursing Facility/Intermediate Care Facility | 1500 Franklyn Ave, Marengo, IA 52301-1312 | 2015-10-21 |
| Find all providers in zip 52301 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356402929 | Marengo Memorial Hospital | General Acute Care Hospital | 300 W May St, Marengo, IA 52301-1261 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.