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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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