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
MS. PATRICE KUENNEN (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
112 JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-3811
(563) 422-9875
Mailing address
112 JEFFERSON STREET, WEST UNION, IA 52175
(563) 422-3811
(563) 422-9875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
330070H
IA
282NC0060X
Critical Access Hospital
Primary
330070H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090423
—
IA
01
—
13603
BLUE CROSS ER GROUP
IA
05
—
90423
—
IA
Enumeration date
05/06/2006
Last updated
11/29/2018
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