# ST LUKE'S METHODIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558453217
- **Authorized official:** MR. JERRY WORDEN (CFO)
- **Authorized official phone:** (319) 369-7094

## Contact information

- **Practice address:** 1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
- **Practice address phone:** (319) 369-7211
- **Mailing address:** PO BOX 7165, DES MOINES, IA 50309-7165
- **Mailing address phone:** (319) 369-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 57T045 | IA | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 10/09/2007