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Organization
ALLEN MEMORIAL HOSPITAL CORPORATION
Active
Organization
ALLEN MEMORIAL HOSPITAL CORPORATION
Active
Other names
Allen Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA K. DELAGARDELLE (PRESIDENT/CEO)
(319) 235-3987
Entity
Organization
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Mailing address
1825 LOGAN AVENUE, WATERLOO, IA 50703
(319) 235-3941
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070034H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010930303
—
MO
05
—
0131310
—
SD
05
—
0601104
—
IA
05
—
402069826500
—
NE
05
—
5531310
—
SD
01
—
5600108
PHARMACY
IA
01
—
60110
BLUE CROSS
IA
05
—
80489300
—
WI
01
—
A5070336
JOHN DEERE
IA
Enumeration date
09/29/2006
Last updated
11/08/2016
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