Organization Name: | ST LUKE'S METHODIST HOSPITAL |
NPI Number: | 1447342100 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MILTON AUNAN (CFO) |
Mailing Address: | 290 Blairs Ferry Rd Ne Suite 100 Cedar Rapids |
State: | IA US |
Postal Code: | 524021618 |
Phone Number: | 3193697744 |
Fax Number: | 3193685531 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 12/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 571516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |