GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOME HEALTH
NPI 1174572481
Home Health in West Union, IA

NPI Status: Active since May 06, 2006

Contact Information

200 JEFFERSON ST
WEST UNION, IA
ZIP 52175
Phone: (563) 422-6267
Fax: (563) 422-9876

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 16D0870635
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-31-2026

About GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOME HEALTH

This page provides the complete NPI Profile along with additional information for Gundersen Palmer Lutheran Hospital And Clinics - Home Health, a provider established in West Union, Iowa operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1174572481 assigned on May 2006. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Gundersen Palmer Lutheran Hospital And Clinics - Home Health. The authorized official of this NPI record is Patrice Kuennen (Ceo)

NPI
1174572481
Provider Legal Name
PALMER LUTHERAN HEALTH CENTER, INC
Other Organization Name
GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOME HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 JEFFERSON ST WEST UNION, IA 52175
Location Phone
(563) 422-6267
Location Fax
(563) 422-9876
Mailing Address
200 JEFFERSON ST WEST UNION, IA 52175
Mailing Phone
(563) 422-6267
Mailing Fax
(563) 422-9876
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-06-2006
Last Update Date
08-03-2022
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Location Map

Secondary Locations

  • 230 2nd Ave SE
    Oelwein, IA 50662
    (319) 283-4489

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICE KUENNEN

Authorized Official Title
CEO
Authorized Official Phone
(563) 422-3811

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
167188OTHER (01)IABLUE CROSS HOME HEALTH
671883MEDICAID (05)IA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0870635
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
TANYA TYSLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gundersen Palmer Lutheran Hospital And Clinics - Home Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOME HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174572481
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441074416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 7 + 4 + 4 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1174572481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710950654PALMER LUTHERAN HEALTH CENTER, INC
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)200 JEFFERSON ST LOWER LEVEL
WEST UNION, IA 52175
(563) 422-9714
1083663397PALMER LUTHERAN HEALTH CENTER, INC.
Organization
Hospice Care, Community Based200 JEFFERSON ST
WEST UNION, IA 52175
(563) 422-6267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174572481, enumerated in the NPI registry as an "organization" on May 06, 2006

The provider is located at 200 Jefferson St West Union, Ia 52175 and the phone number is (563) 422-6267

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Quartz, Wellmark Health Plan of Iowa, Inc., Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 16D0870635 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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