Organization
PALMER LUTHERAN HEALTH CENTER, INC
Active
Other names
Gundersen Palmer Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE KUENNEN DM (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
(563) 422-9714
(563) 422-9875
Mailing address
200 JEFFERSON ST, LOWER LEVEL, WEST UNION, IA 52175-1024
(563) 422-9714
(563) 422-9875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6396
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112599
—
IA
01
—
43326
WELLMARK OF IOWA
IA
Enumeration date
02/10/2006
Last updated
11/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us