Allen Memorial Hospital Corporation
Organization Active NPI Skilled Nursing Facility · Waterloo, IA
NPI 1508958265 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1508958265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 070034H (IA)
- Legal business name
- ALLEN MEMORIAL HOSPITAL CORPORATION
- Practice address
- 1825 Logan Ave
Waterloo, IA 50703-1916 - Phone
- (319) 235-3941
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Renee Rasmussen
- Title
- Cfo
- Phone
- (319) 235-3918
Practitioners 10
-
Bilal Rafic Kaaki, M.D.
-
Renata Larissa Kesala, D.O.
-
Amit Monga, MD
-
Sonia Monga, M.D.
-
Ioana Popescu, MD
-
Jeffrey George Zorn, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 070034H | IA | Yes |
Addresses
Primary practice location
1825 Logan Ave
Waterloo, IA 50703-1916
Mailing address
PO Box 7326
Des Moines, IA 50309-7326
Phone (319) 235-3941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0651240 | Medicaid | IA | |
| 65124 | Other | IA | BLUE CROSS |
Other names
- Allen Memorial Hospital
Other providers in Waterloo, IA
- Allen Memorial Hospital Corp
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
All providers in Waterloo, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.