Organization · Type 2 NPI

Allen Memorial Hospital Corporation

Home Health Agency · Waterloo, IA

NPI number 1104912203 Active

Practice location

1117 Maxhelen Blvd
Waterloo, IA 50701-9346

Call (319) 274-7154 Map

Fax (319) 274-7326

Mailing address

1825 Logan Ave
Waterloo, IA 50703-1916

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1104912203
Entity type: Organization (Type 2)
Issued: Oct 5, 2006
Last updated: Dec 29, 2010
Status: Active
Subpart: Yes of Allen Hospital

Other names

<unavail>
Allen Private Duty Home Care-Rosewood · doing business as

Authorized official

Mr. John E Knox
President / CEO
(319) 235-3987

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104912203

Allen Memorial Hospital Corporation's National Provider Identifier is 1104912203, issued on Oct 5, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Waterloo, IA. The record was last updated on Dec 29, 2010.