Organization · Type 2 NPI

Spencer Municipal Hospital

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Spirit Lake, IA

NPI number 1760479554 Active

Practice location

3150 18th St
Spirit Lake, IA 51360-7468

Call (712) 336-2910 Map

Fax (712) 336-4026

Mailing address

1200 1st Ave E
Spencer, IA 51301-4330

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	37H (IA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1760479554
Entity type: Organization (Type 2)
Issued: Oct 5, 2005
Last updated: Oct 10, 2023
Status: Active

Other names

<unavail>
Warner Dialysis Center- Spirit Lake · doing business as
Warner Dialysis Center- Spirit Lake · doing business as

Authorized official

Brenda Tiefenthaler
Chief Executive Officer
(712) 264-6111

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760479554

Spencer Municipal Hospital's National Provider Identifier is 1760479554, issued on Oct 5, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Spirit Lake, IA. The record was last updated on Oct 10, 2023.