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Organization

ST. LUKE'S METHODIST HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MILTON E AUNAN (VP & CFO)
(319) 369-7094
Entity
Organization

Contact information

Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
PO BOX 9306, DES MOINES, IA 50306-9306
(515) 471-9373

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223D0001X
Public Health Dentistry
207RC0000X
Cardiovascular Disease Physician
Primary
207RP1001X
Pulmonary Disease Physician
207T00000X
Neurological Surgery Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0098098
IA
01
C62126
RR MEDICARE
IA
Enumeration date
06/08/2006
Last updated
07/18/2011
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