Palmer Lutheran Health Center, Inc
Organization Active NPI Urgent Care Clinic/Center · West Union, IA
NPI 1801845110 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1801845110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- PALMER LUTHERAN HEALTH CENTER, INC
- Practice address
- 112 Jefferson Street
West Union, IA 52175 - Phone
- (563) 422-3811
- Fax
- (563) 422-9754
- NPI assigned
- May 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- GUNDERSEN LUTHERAN HEALTH SYSTEM, INC
Authorized official
- Name
- Tanya A. Tysland
- Title
- Ceo
- Phone
- (563) 422-3811
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Palmer Lutheran HLTH Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
112 Jefferson Street
West Union, IA 52175
Mailing address
112 Jefferson Street
West Union, IA 52175
Phone (563) 422-3811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223610 | Medicaid | IA | |
| 53077 | Other | IA | BLUE CROSS URGENT CARE |
Other names
- Gundersen Palmer Lutheran Hospital and Clinics
Other providers in West Union, IA
- Brittany Rose O'Brien
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
All providers in West Union, IA · Urgent Care Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. 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.