COLONIES FAMILY MEDICAL CLINIC
NPI 1639747108
Clinic/Center - Rural Health in Amana, IA

Q: What is Marengo Memorial Hospital's NPI number?

The NPI number for Marengo Memorial Hospital is 1639747108. It was assigned to this organization in the NPPES registry on June 11, 2021. The provider is doing business as Colonies Family Medical Clinic.

Q: 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.

Active since June 11, 2021CLIA 16D2227872 · Waiver

728 47TH AVE, AMANA, IA 52203(319) 225-8700(319) 225-8660 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2021, Jun 11, 2021 (2 updates tracked since 2021).

On this page

About Colonies Family Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLONIES FAMILY MEDICAL CLINIC (NPI 1639747108) is a healthcare organization registered as a rural health in Amana, Iowa and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Barry G Goettsch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639747108

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMARENGO MEMORIAL HOSPITAL

Location Address728 47TH AVEAmana, IA 52203-8031

Mailing Address300 W May StMarengo, IA 52301-1261 · (319) 642-8160 · Fax (319) 642-8069

Phone(319) 225-8700

Fax(319) 225-8660

Organization SubpartYes

Authorized OfficialBarry G GoettschCeo · (319) 642-8160

Enumeration DateJune 11, 2021

Last NPPES UpdateJune 17, 20212 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1639747108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

728 47TH AVE, Amana, IA 52203

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Other Names 1

Doing Business AsColonies Family Medical Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colonies Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIowaEnrollment IDO20211020002943Part A · Rural Health ClinicDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 16D2227872

Colonies Family Medical Center · Amana, IA

Active · expires Jun 16, 2027

CLIA Number16D2227872

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 17, 2025

Certificate Expiration DateJune 16, 2027

Laboratory DirectorJonathan Newberry

Laboratory Phone(319) 225-8700

Laboratory LocationColonies Family Medical Center728 47th Avenue, Amana, IA 52203

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 1639747108. It was assigned to this organization in the NPPES registry on June 11, 2021. The provider is doing business as Colonies Family Medical Clinic.

Where is Marengo Memorial Hospital located?

Marengo Memorial Hospital is located at 728 47th Ave, Amana, IA 52203. The listed phone number is (319) 225-8700.

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.

When is Marengo Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Iowa, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Marengo Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2227872) is associated with this NPI, valid through June 16, 2027. 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 June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.