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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
200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
(563) 422-9714
(563) 422-9875
Mailing address
200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
(563) 422-9714
(563) 422-9875
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
6396
IA
Other
Enumeration date
02/10/2006
Last updated
11/29/2018
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