Organization
ST LUKE'S JONES REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BRIESEMEISTER (CEO)
(319) 462-6131
Entity
Organization
Contact information
Practice address
1795 HIGHWAY 64 E, ANAMOSA, IA 52205-2112
(319) 462-6131
(319) 481-6332
Mailing address
1795 HIGHWAY 64 E, ANAMOSA, IA 52205-2112
(319) 462-6131
(319) 481-6332
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
530110H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600171
—
IA
01
—
421787967
CHAMPUS
IA
01
—
60103
BLUE CROSS
IA
01
—
A5220501
JOHN DEERE
IA
Enumeration date
09/29/2006
Last updated
01/16/2018
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