Organization
ST LUKE'S METHODIST HOSPITAL
Active
Parent organization
ST LUKE'S METHODIST HOSPITAL
Other names
St. Luke's Hospital Dental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S METHODIST HOSPITAL
Authorized official
MICHELLE NIERMANN (PRESIDENT/CEO)
(319) 369-7203
Entity
Organization
Contact information
Practice address
855 A AVE NE STE LL1, CEDAR RAPIDS, IA 52402-5064
(319) 369-7730
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5074
(319) 369-7121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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