Organization Name: | ST LUKES METHODIST HOSPITAL |
NPI Number: | 1003017153 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MILTON E. AUNAN (VP/CFO) |
Mailing Address: | 4251 River Center Ct Ne Cedar Rapids |
State: | IA US |
Postal Code: | 524027549 |
Phone Number: | 3193697512 |
Fax Number: | 3193697494 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |