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American Lutheran Church
Parenteral & Enteral Nutrition Supplies (DME) in Elk Horn, Iowa
NPI 1760460489

American Lutheran Church is a Parenteral & Enteral Nutrition Supplies (DME) based in Elk Horn, IA and is specialized in Parenteral & Enteral Nutrition. American Lutheran Church practices in Elk Horn, IA. The NPI Number for American Lutheran Church is 1760460489 and holds a License No. 830061 (Iowa).

The current practice location address for American Lutheran Church is 2027 College, Elk Horn, IA and can be reached out via phone at 712-764-4201 and via fax at 712-764-4206.

Location: 2027 College, Elk Horn, IA, 51531-8007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760460489
Provider Name
American Lutheran Church
Credential
Provider Entity Type
Organization
Address
2027 College, Elk Horn, IA, 51531-8007
Phone Number
712-764-4201
Fax Number
712-764-4206
Provider Enumeration Date
01/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0803551 05 IA
65155 01 IA BC/BS THERAPY AND CI
institution
Provider Business Practice Location Address Details
Address
2027 College
City
Elk Horn
State
Iowa
Zip
51531-0703
Phone Number
712-764-4201
Fax Number
712-764-4206
person
Provider Business Mailing Address Details
Address
2027 College
City
Elk Horn
State
Iowa
Zip
51531-0703
Phone Number
712-764-4201
Fax Number
712-764-4206
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
830061 (Iowa)
Definition
Definition to come...
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