Provider Demographics
NPI:1578686341
Name:ST LUKES METHODIST HOSPITAL
Entity Type:Organization
Organization Name:ST LUKES METHODIST HOSPITAL
Other - Org Name:ST LUKES WORK WELL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-369-7094
Mailing Address - Street 1:830 FIRST AVE NE
Mailing Address - Street 2:ST LUKES WORK WELL SOLUTIONS
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52406-3026
Mailing Address - Country:US
Mailing Address - Phone:319-369-8883
Mailing Address - Fax:319-369-7012
Practice Address - Street 1:830 FIRST AVE NE
Practice Address - Street 2:ST LUKES WORK WELL SOLUTIONS
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52406-3026
Practice Address - Country:US
Practice Address - Phone:319-369-8883
Practice Address - Fax:319-369-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty