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Contact Information

AMERICAN LUTHERAN CHURCH
2027 COLLEGE
ELK HORN, IA51531-0703
 Phone: 712-764-4201
 Fax: 712-764-4206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AMERICAN LUTHERAN CHURCH

NPI # 1760460489
LBN Legal business name AMERICAN LUTHERAN CHURCH
Authorized official RAYE NAE NYLANDER - (VICE PRESIDENT CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/03/2006
Last updated 08/12/2014 - About 12 years ago
Identifiers
IA License # 830061
IA Medicaid 0803551
IA Other 65155 BC/BS THERAPY AND CI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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