| NPI | 1558722579 |
|---|---|
| Doing Business As | GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - FAYETTE |
| Entity Type | Organization |
| Authorized Contact | PATRICE KUENNEN CEO 563-422-3811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2018-11-29 |