Organization
ST LUKES METHODIST HOSPITAL
Active
Parent organization
ST LUKES METHODIST HOSPITAL
Other names
Albert G & Helen Nassif Radiation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES METHODIST HOSPITAL
Authorized official
MS. MICHELLE S NIERMANN (SENIOR VICE PRESIDENT, COO)
(319) 369-8873
Entity
Organization
Contact information
Practice address
202 10TH ST SE, STE 195, CEDAR RAPIDS, IA 52403-2414
(319) 861-6944
(319) 861-6945
Mailing address
202 10TH ST SE, STE 195, CEDAR RAPIDS, IA 52403-2414
(319) 861-6944
(319) 861-6945
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2015
Last updated
09/21/2015
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