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Organization
PALMER LUTHERAN HEALTH CENTER, INC
Active
Organization
PALMER LUTHERAN HEALTH CENTER, INC
Active
Other names
Gundersen Palmer Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE KUENNEN DM (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
230 2ND AVE SE, OELWEIN, IA 50662-2417
(319) 283-4489
(319) 283-1384
Mailing address
230 2ND AVE SE, OELWEIN, IA 50662-2417
(319) 283-4489
(319) 283-1384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6397
IA
Other
Enumeration date
02/10/2006
Last updated
08/03/2022
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