MARENGO FAMILY MEDICAL CLINIC
NPI 1043375132
Clinic/Center - Rural Health in Marengo, IA
About Marengo Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARENGO FAMILY MEDICAL CLINIC (NPI 1043375132) is a healthcare organization registered as a rural health in Marengo, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Barry G Goettsch, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marengo Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Marengo Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 75Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D0996669
Marengo Family Medical Clinic · Marengo, IAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marengo Memorial Hospital's NPI number?
The NPI number for Marengo Memorial Hospital is 1043375132. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Marengo Family Medical Clinic.
Where is Marengo Memorial Hospital located?
Marengo Memorial Hospital is located at 300 W May St Ste A, Marengo, IA 52301. The listed phone number is (319) 741-6789.
What is Marengo Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Marengo Memorial Hospital enrolled in Medicare?
Yes. Marengo Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marengo Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 14 Medicare specialties reassign their Medicare billing to Marengo Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Emergency Medicine (17) and Family Practice (12). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marengo Memorial Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D0996669) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Marengo Memorial Hospital was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marengo Family Medical Clinic · NPI 1043375132
Rural Health organization in Marengo, Iowa. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1043375132 (Entity type: Organization)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Marengo Memorial Hospital
- **Organization subpart:** Yes (part of Marengo Memorial Hospital)
- **Authorized official:** Barry Goettsch, CEO
## Practice location
- **Address:** 300 W MAY ST STE A, Marengo, IA 52301-1261
- **Phone:** (319) 741-6789 · **Fax:** (319) 741-6791
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Emergency Medicine (17), Family Practice (12); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1043375132/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2020
- **Other identifiers:** Medicaid 0745489 (IA); Medicaid 2083113 (IA); Medicaid 0761312 (IA); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043375132) · Data from the CMS NPPES public registry.