Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1891744108 |
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| LBN Legal business name | PALMER LUTHERAN HEALTH CENTER, INC. | ||||||||||||||||
| Authorized official | PATRICE KUENNEN - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 05/06/2006 | ||||||||||||||||
| Last updated | 11/29/2018 - About 8 years ago | ||||||||||||||||
| Identifiers |
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