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
TANYA A. TYSLAND (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
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223610
—
IA
01
—
53077
BLUE CROSS URGENT CARE
IA
Enumeration date
05/06/2006
Last updated
07/25/2018
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