MARENGO MEMORIAL HOSPITAL (NPI# 1700088184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700088184 |
| Entity Type | Organization |
| Organization Name | MARENGO MEMORIAL HOSPITAL |
| Other Organization Name | IOWA COUNTY AMBULANCE |
| Practice Address |
355 W Lucas St Marengo IA 52301-1270 |
| Mailing Address |
300 W May St P.o. Box 228 Marengo IA 52301-1261 |
| Practice Telephone | 3196425543 |
| Practice Fax Number | 3196428007 |
| Mailing Telephone | 3196425543 |
| Mailing Fax Number | 3196428007 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | MS. GENICE A. MAROC (CEO) |
| Authorized Official Telephone | 3196425543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0096156 | 05 | |
| IA | AMBULANCE BCBS NUMBER | 18037 | 01 |
| Other Name | Type Code |
|---|---|
| Iowa County Ambulance | 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 |
| 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 |
355 W LUCAS ST |
| City | MARENGO |
| State | IA |
| Zip Code | 52301-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134539760 | County of Iowa | Ambulance | 355 W Lucas St, Marengo, IA 52301-1270 | 2014-05-05 |
| 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 |
| 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 |
| Find all providers in zip 52301 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134539760 | County of Iowa | Ambulance | 355 W Lucas St, Marengo, IA 52301-1270 | 2014-05-05 |
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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.