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Organization
ST LUKES METHODIST HOSPITAL
Active
Organization
ST LUKES METHODIST HOSPITAL
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON E. AUNAN (VP/CFO)
(319) 369-7094
Entity
Organization
Contact information
Practice address
4251 RIVER CENTER CT NE, CEDAR RAPIDS, IA 52402-7549
(319) 369-7512
(319) 369-7494
Mailing address
PO BOX 141, DES MOINES, IA 50301-0141
(319) 369-7512
(319) 369-7494
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021691
—
IA
Enumeration date
05/29/2007
Last updated
11/21/2014
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