| St Luke's Methodist Hospital | |
|
1026 A Ave Ne Cedar Rapids IA 52402-5036 | |
| (319) 369-7211 | |
| Not Available |
| Full Name | St Luke's Methodist Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1026 A Ave Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Milton E Aunan (CFO) |
| Authorized Official Contact | 3193697094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Luke's Methodist Hospital Po Box 7165 Des Moines IA 50309-7165 Ph: (319) 369-7211 | St Luke's Methodist Hospital 1026 A Ave Ne Cedar Rapids IA 52402-5036 Ph: (319) 369-7211 |
| NPI Number | 1356433015 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 07/16/2009 |
| Medicare PECOS PAC ID | 6608786751 |
|---|---|
| Medicare Enrollment ID | O20071128000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356433015 | NPI | - | NPPES |
| 6S045 | Other | IA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 57S045 (Iowa) | Primary |
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