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ALLEN MEMORIAL HOSPITAL CORPORATION NPI 1346292521


NPI Information

NPI: 1346292521
Provider Name: ALLEN MEMORIAL HOSPITAL CORPORATION

Doing Business As: ALLEN HOSPITAL

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 16D0384912

Address:
1825 LOGAN AVE
WATERLOO, IA
ZIP 50703
Phone: (319) 235-3941
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ALLEN MEMORIAL HOSPITAL CORPORATION is an emergency medicine in Waterloo, IA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ALLEN MEMORIAL HOSPITAL CORPORATION NPI is 1346292521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allen Hospital.

The provider's business location address is:

1825 LOGAN AVE
WATERLOO, IA
ZIP 50703-916
Phone: (319) 235-3941

The provider's authorized official is Pamela K. Delagardelle .
The authorized official title is President/ceo and has the following contact phone number (319) 235-3987.

The CLIA number assigned to this NPI record is 16D0384912 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0002XInternal MedicineHospice and Palliative MedicineNo
2163WW0000XRegistered NurseWound CareNo
3207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
4207QH0002XFamily MedicineHospice and Palliative MedicineNo
5207R00000XInternal MedicineNo
6208100000XPhysical Medicine & RehabilitationNo
72085R0202XRadiologyDiagnostic RadiologyNo
82085R0204XRadiologyVascular & Interventional RadiologyNo
9363A00000XPhysician AssistantNo
10363L00000XNurse PractitionerNo
11207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117014OTHERIOWAWELLMARK BCBS/IOWA
20170142MEDICAIDIOWA
30401143OTHERIOWAMEDICAID - NP GROUP
421770MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.