| Gundersen Palmer Lutheran Hospital And Clinics - Fayette | |
|
110 King St Fayette IA 52142-9735 | |
| (563) 425-3381 | |
| Not Available |
| Full Name | Gundersen Palmer Lutheran Hospital And Clinics - Fayette |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 King St, Fayette, Iowa |
| Authorized Official Name and Position | Patrice Kuennen (CEO) |
| Authorized Official Contact | 5634223811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Palmer Lutheran Hospital And Clinics - Fayette 110 King St Fayette IA 52142-9735 Ph: (563) 425-3381 | Gundersen Palmer Lutheran Hospital And Clinics - Fayette 110 King St Fayette IA 52142-9735 Ph: (563) 425-3381 |
| NPI Number | 1558722579 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 4284544255 |
|---|---|
| Medicare Enrollment ID | O20160727001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558722579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gl Fayette Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 King Street, Fayette, IA 52142 Phone: 608-782-7300 | |
Winnmed Fayette Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Washington St, Fayette, IA 52142 Phone: 563-382-2911 | |
Fayette Chiropractic Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 South Main Street, Fayette, IA 52142 Phone: 563-425-3341 Fax: 563-425-3342 |