Organization
ALLEN MEMORIAL HOSPITAL CORPORATION
Active
Other names
Allen Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE RASMUSSEN (CFO)
(319) 235-3918
Entity
Organization
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Mailing address
PO BOX 7326, DES MOINES, IA 50309-7326
(319) 235-3941
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070034H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651240
—
IA
01
—
65124
BLUE CROSS
IA
Enumeration date
09/29/2006
Last updated
10/09/2007
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