Organization
ST LUKE'S METHODIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON AUNAN (CFO)
(319) 369-7094
Entity
Organization
Contact information
Practice address
290 BLAIRS FERRY RD NE, SUITE 100, CEDAR RAPIDS, IA 52402-1618
(319) 369-7744
(319) 368-5531
Mailing address
PO BOX 7165, DES MOINES, IA 50309-7165
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
571516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615161
—
IA
01
—
61516
BLUE CROSS
IA
Enumeration date
09/29/2006
Last updated
12/11/2009
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