Organization
ALLEN MEMORIAL HOSPITAL CORPORATION
Active
Other names
Allen Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA K. DELAGARDELLE (PRESIDENT/CEO)
(319) 235-3987
Entity
Organization
Contact information
Practice address
233 VOLD DR, WATERLOO, IA 50703-1256
(319) 235-5090
(319) 226-2110
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3913
(319) 235-3191
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222182
—
IA
05
—
0222208
—
IA
01
—
23711
8TH ST WELLMARK GROUP #
IA
01
—
25698
VOLD WELLMARK GROUP #
IA
01
—
36611
DALE ST WELLMARK GROUP #
IA
Enumeration date
12/29/2005
Last updated
11/07/2016
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