Northwest Iowa Urologists Pc
Specialist
1200 1st Ave E, Suite B, Spencer
Iowa, 51301-4342
712-262-6214 712-262-6216
Northwest Iowa Urologists Pc is a Specialist in Spencer, Iowa. It is located at 1200 1st Ave E, Suite B, Spencer and it's customer support contact number is 712-262-6214. The authorized person of Northwest Iowa Urologists Pc is Dr. Walter Leslie Mendenhall, M.D. who is President of this DME and his contact number is 712-262-6214. Active license number of Northwest Iowa Urologists Pc is 24150 for Specialist in Iowa. Northwest Iowa Urologists Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northwest Iowa Urologists Pc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
DME Supplier Details:
Northwest Iowa Urologists Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Northwest Iowa Urologists Pc |
| Type: | Specialist |
| Location: | 1200 1st Ave E, Suite B, Spencer,
Iowa, 51301-4342 |
| Phone: | 712-262-6214 |
| Fax: | 712-262-6216 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Walter Leslie Mendenhall |
| Credentials: | M.D. |
| Position: | President |
| Contact Number: | 712-262-6214 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1063465003 |
| NPI Enumeration Date: | 19 May, 2006 |
| NPI Last Update On: | 08 Jan, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Iowa Urologists Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 24150 | Iowa | Primary | |
| Durable Medical Equipment & Medical Supplies | 20168 | Iowa | Secondary | |
| Specialist | 20168 | Iowa | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0183244 | Medicaid | Iowa | |
Medicare Enrollment:
Northwest Iowa Urologists Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4587554670 | O20040319001469 | Northwest Iowa Urologists Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 4587554670 | O20100930072023 | Northwest Iowa Urologists Pc | DME SUPPLIER - PHYSICIAN - UROLOGY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1200 1st Ave E, Suite B
Spencer, Iowa |
| Zip: | 51301-4342 |
| Phone Number: | 712-262-6214 |
| Fax Number: | 712-262-6216 |
Patients can reach Northwest Iowa Urologists Pc at
1200 1st Ave E, Suite B, Spencer, Iowa or can
call on customer care at 712-262-6214.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.