| Palmer Lutheran Health Center, Inc | |
|
110 Jefferson St West Union IA 52175-1022 | |
| (563) 422-3810 | |
| Not Available |
| Full Name | Palmer Lutheran Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Jefferson St, West Union, Iowa |
| Authorized Official Name and Position | Patrice Kuennen (CEO) |
| Authorized Official Contact | 5634223811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Lutheran Health Center, Inc 110 Jefferson St West Union IA 52175-1022 Ph: (563) 422-3810 | Palmer Lutheran Health Center, Inc 110 Jefferson St West Union IA 52175-1022 Ph: (563) 422-3810 |
| NPI Number | 1639533763 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 4284544255 |
|---|---|
| Medicare Enrollment ID | O20160811000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639533763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gundersen Clinic, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 608-782-7300 | |
Palmer Lutheran Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Jefferson Street, West Union, IA 52175 Phone: 563-422-3811 Fax: 563-422-9875 |