Organization
ST. LUKE'S FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE K CAMPBELL RN (NURSE MANAGER)
(319) 369-7416
Entity
Organization
Contact information
Practice address
855 A AVE NE, SUITE LOWER LEVEL 1, CEDAR RAPIDS, IA 52402-5057
(319) 369-7397
(319) 369-7494
Mailing address
855 A AVE NE, SUITE LOWER LEVEL 1, CEDAR RAPIDS, IA 52402-5057
(319) 369-7397
(319) 369-7494
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021691
—
IA
01
—
49729
BLUE CROSS BLUE SHIELD
IA
Enumeration date
02/27/2007
Last updated
08/22/2020
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