Organization
PALMER LUTHERAN HEALTH CENTER, INC.
Active
Parent organization
GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.
Other names
Gundersen Palmer Lutheran Hospital and Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.
Authorized official
PATRICE KUENNEN (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
112 JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-3811
(563) 422-9754
Mailing address
112 JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-3811
(563) 422-9754
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
330070H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601294
—
IA
01
—
60129
BLUE CROSS PROVIDER NUMBE
IA
05
—
601294
—
IA
Enumeration date
07/22/2005
Last updated
11/29/2018
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