MARENGO MEMORIAL HOSPITAL (NPI# 1407349038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407349038 |
| Entity Type | Organization |
| Organization Name | MARENGO MEMORIAL HOSPITAL |
| Other Organization Name | COMPASS MEMORIAL HEALTHCARE - PHARMACY |
| Practice Address |
300 W May St Marengo IA 52301-1261 |
| Practice Telephone | 3196425543 |
| Practice Fax Number | 3196428077 |
| Mailing Telephone | 3196425543 |
| Mailing Fax Number | 3196428077 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-03-18 |
| NPI Deactivation Date | 07/24/2019 |
| NPI Reactivation Date | 2020-03-18 |
| Authorized Official Name | BARRY GERALD GOETTSCH (CEO) |
| Authorized Official Telephone | 3196425543 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | MARENGO MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
900 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| Compass Memorial Healthcare - Pharmacy | 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 |
| 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 |
| 1053368191 | Marengo Memorial Hospital | Personal Emergency Response Attendant | 300 W May St, Marengo, IA 52301-1261 | 2006-05-27 |
| 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 |
| 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 |
| 1629326087 | River Valley Dialysis LLC | Clinic/Center | 300 W May St, Marengo, IA 52301-1261 | 2012-08-16 |
| 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 | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295125227 | Sioux Valley Memorial Hospital Association | Pharmacy | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 | 2015-01-29 |
| 1962567081 | State of Iowa Human Services Mt. Pleasant | Pharmacy | 1200 E Washington St, Mt Pleasant, IA 52641-1804 | 2006-12-27 |
| 1760561633 | The Finley Hospital | Pharmacy | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-11-03 |
| 1801977335 | Sanford Health Network | Pharmacy | 118 N 7th Ave, Sheldon, IA 51201-1235 | 2006-10-18 |
| 1649360561 | Greater Regional Medical Center | Pharmacy | 1700 W Townline St, Creston, IA 50801-1054 | 2006-10-13 |
Please comment or provide details below to improve the information on MARENGO MEMORIAL HOSPITAL.
| 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.