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Contact Information

ALLEN MEMORIAL HOSPITAL CORPORATION
146 W DALE ST
SUITE 103
WATERLOO, IA50703-1901
 Phone: 319-235-3777
 Fax: 319-235-3134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALLEN MEMORIAL HOSPITAL CORPORATION

NPI Number 1659461572
LBN Legal business name ALLEN MEMORIAL HOSPITAL CORPORATION
Authorized official AMY BUCKNELL - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 11/07/2016 - About 10 years ago
Identifiers
IA License # 950
IA Medicaid 1618377
Other 2029507 PK
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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