Organization
PALMER LUTHERAN HEALTH CENTER, INC.
Active
Parent organization
GUNDERSEN LUTHERAN HEALTH SYSTEM
Other names
Gundersen Palmer Lutheran Hospital and Clinics - Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN LUTHERAN HEALTH SYSTEM
Authorized official
PATRICE KUENNEN (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
200 JEFFERSON ST, WEST UNION, IA 52175-1024
(563) 422-6267
(563) 422-9876
Mailing address
200 JEFFERSON ST, WEST UNION, IA 52175-1024
(563) 422-6267
(563) 422-9876
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
330070H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161521
BLUE CROSS HOSPICE
IA
05
—
615211
—
IA
Enumeration date
05/06/2006
Last updated
08/03/2022
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