| St. Luke's Methodist Hospital | |
|
4251 River Center Ct Ne Cedar Rapids IA 52402-7549 | |
| (319) 369-7512 | |
| Not Available |
| Full Name | St. Luke's Methodist Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 4251 River Center Ct Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Milton E. Aunan (VP/CFO) |
| Authorized Official Contact | 3193697094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Methodist Hospital Po Box 141 Des Moines IA 50301-0141 Ph: (515) 471-9373 | St. Luke's Methodist Hospital 4251 River Center Ct Ne Cedar Rapids IA 52402-7549 Ph: (319) 369-7512 |
| NPI Number | 1578658738 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578658738 | NPI | - | NPPES |
| 0094912 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | (* (Not Available)) | Secondary |
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