# 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:** 1710950654
- **Authorized official:** PATRICE KUENNEN DM (CEO)
- **Authorized official phone:** (563) 422-3811

## Contact information

- **Practice address:** 200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
- **Practice address phone:** (563) 422-9714
- **Practice address fax:** (563) 422-9875
- **Mailing address:** 200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
- **Mailing address phone:** (563) 422-9714
- **Mailing address fax:** (563) 422-9875

## 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) | 6396 | IA | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 11/29/2018