Organization · Type 2 NPI

Palmer Lutheran Health Center, Inc.

Rural Health Clinic/Center · Fayette, IA

NPI number 1558722579 Active

Practice location

110 King St
Fayette, IA 52142-9735

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1558722579
Entity type: Organization (Type 2)
Issued: Mar 18, 2016
Last updated: Nov 29, 2018
Status: Active
Subpart: Yes of Gundersen Lutheran Health System, Inc.

Other names

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Gundersen Palmer Lutheran Hospital and Clinics - Fayette · doing business as
Gundersen Palmer Lutheran Hospital and Clinics - Fayette · doing business as

Authorized official

Patrice Kuennen
CEO
(563) 422-3811

Verify this record

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 1558722579

Palmer Lutheran Health Center, Inc.'s National Provider Identifier is 1558722579, issued on Mar 18, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fayette, IA. The record was last updated on Nov 29, 2018.