Organization
ST LUKE'S METHODIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON E AUNAN (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 7165, DES MOINES, IA 50309-7165
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
57S045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6S045
BLUE CROSS
IA
Enumeration date
09/29/2006
Last updated
07/16/2009
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