# PALMER LUTHERAN HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gundersen Palmer Home Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356314215
- **Authorized official:** PATRICE KUENNEN DM (CEO)
- **Authorized official phone:** (563) 422-3811

## Contact information

- **Practice address:** 230 2ND AVE SE, OELWEIN, IA 50662-2417
- **Practice address phone:** (319) 283-4489
- **Practice address fax:** (319) 283-1384
- **Mailing address:** 230 2ND AVE SE, OELWEIN, IA 50662-2417
- **Mailing address phone:** (319) 283-4489
- **Mailing address fax:** (319) 283-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 6397 | IA | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 08/03/2022