| St Luke's Methodist Hospital | |
|
855 A Ave Ne Ste Ll1 Cedar Rapids IA 52402-5064 | |
| (319) 369-7730 | |
| Not Available |
| Full Name | St Luke's Methodist Hospital |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 855 A Ave Ne Ste Ll1, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Michelle Niermann (PRESIDENT/CEO) |
| Authorized Official Contact | 3193697203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Luke's Methodist Hospital 1026 A Ave Ne Cedar Rapids IA 52402-5074 Ph: (319) 369-7121 | St Luke's Methodist Hospital 855 A Ave Ne Ste Ll1 Cedar Rapids IA 52402-5064 Ph: (319) 369-7730 |
| NPI Number | 1306589411 |
|---|---|
| Provider Enumeration Date | 04/16/2022 |
| Last Update Date | 04/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306589411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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