National Provider Identifier Database

PALMER LUTHERAN HEALTH CENTER INC
Critical Access


Contact Information

PALMER LUTHERAN HEALTH CENTER, INC.
112 JEFFERSON STREET
WEST UNION, IA52175
Phone: 563-422-3811
Fax: 563-422-9875
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for PALMER LUTHERAN HEALTH CENTER, INC.

NPI Number 1891744108
Legal business name
LBN
PALMER LUTHERAN HEALTH CENTER, INC.
Authorized official PATRICE KUENNEN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/06/2006
Last updated 11/29/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 330070H
  • IA Medicaid: 0090423
  • IA Medicaid: 90423
  • IA Other: 13603 BLUE CROSS ER GROUP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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