| Organization Name: | PALMER LUTHERAN HEALTH CENTER, INC. |
| NPI Number: | 1083663397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TANYA A TYSLAND (CEO) |
| Mailing Address: | 200 Jefferson St West Union |
| State: | IA US |
| Postal Code: | 521751024 |
| Phone Number: | 5634226267 |
| Fax Number: | 5634229876 |
| NPI Enumeration Date: | 05/06/2006 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 330070H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |