GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOSPICE
NPI 1083663397
Hospice Care, Community Based 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
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 16D0038759
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-30-2027
About GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOSPICE
This page provides the complete NPI Profile along with additional information for Gundersen Palmer Lutheran Hospital And Clinics - Hospice, a provider established in West Union, Iowa operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1083663397 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 330070H (IA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Gundersen Palmer Lutheran Hospital And Clinics - Hospice. The authorized official of this NPI record is Patrice Kuennen (Ceo)
- NPI
- 1083663397
- Provider Legal Name
- PALMER LUTHERAN HEALTH CENTER, INC.
- Other Organization Name
- GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - HOSPICE
- 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
- Code Navigator
Gundersen Palmer Lutheran Hospital And Clinics - Hospice is a medicare supplier with PTAN 20672279 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Gastric Suction Pumps or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings or Lymphedema Compression Treatment Items.
According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 03-19-1992 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.
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
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 330070H
- License State
- IA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS Bronze 8500 - POS
- POS Silver 6000 - POS
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - 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.
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 |
|---|---|---|---|
| 161521 | OTHER (01) | IA | BLUE CROSS HOSPICE |
| 615211 | MEDICAID (05) | IA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20672279
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Respiratory Therapist, Orthotic Personnel.
- Provider Type List
- OXYGEN & EQUIPMENT.
- Competitive Bidding
- NO
Supplies List
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Gastric Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
- Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
- Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Patient Lifts - Ceiling lifts, Slings
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
- Respiratory Assist Devices -
- Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Lymphedema Compression Treatment Items -
Hospice Care Information
The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.
| CMS Certification Number (CCN) | 161521 |
| Ownership Type | Non-Profit |
| Medicare Certification Date | 03-19-1992 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 12.0 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year 1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage | Yes |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year 1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage | Yes |
| Care Provided in Assisted Living Facility Percentage of days patients received care in an assisted living facility | 23 |
| Care Provided in Home Percentage of days patients received care in home | 52 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Inpatient Hospital Facility Percentage of days patients received care in an inpatient hospital | 2 |
| Care Provided in Nursing Facility Percentage of days patients received care in a nursing facility | 21 |
| Care Provided in All other locations Percentage of days patients received care in other locations | 2 |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 100.0 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 100.0 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 100.0 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 98.7 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 98.0 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | Not Available - The number of patient stays is too small to report (less than 20 patient stays). |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 96.2 |
| Hospice Visits in the Last Days of Life | 87 |
| Hospice Visits in the Last Days of Life Facility observed rate | 89.7 |
| Hospice Care Index Overall Score Facility observed rate | 10.0 |
| CHC/GIP provided (% days) | 11,468 |
| CHC/GIP provided (% days) Facility observed rate | 0.9 |
| CHC/GIP provided (% days) | 87 |
| Gaps in nursing visits (% elections) | 81 |
| Gaps in nursing visits (% elections) Facility observed rate | 43.2 |
| Gaps in nursing visits (% elections) | 35 |
| Early live discharges (% live discharges) | 33 |
| Early live discharges (% live discharges) Facility observed rate | 3.0 |
| Early live discharges (% live discharges) | 28 |
| Late live discharges (% live discharges) | 33 |
| Late live discharges (% live discharges) Facility observed rate | 24.2 |
| Late live discharges (% live discharges) | 14 |
| Burdensome transitions, Type 1(% live discharges) | 33 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 6.1 |
| Burdensome transitions, Type 1 (% live discharges) | 46 |
| Burdensome transitions, Type 2(% live discharges) | 33 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 0.0 |
| Burdensome transitions, Type 2 (% live discharges) | 43 |
| Per-beneficiary spending (U.S. dollars $) | 163 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 11,712 |
| Per-beneficiary spending (U.S. dollars $) | 21 |
| Nurse care minutes per routine home care days (minutes) | 11,224 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 12.6 |
| Nurse care minutes per routine home care days (minutes) | 54 |
| Skilled nursing minutes on weekends (% minutes) | 141,165 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 8.1 |
| Skilled nursing minutes on weekends (% minutes) | 52 |
| Visits near death (% decedents) | 134 |
| Visits near death (% decedents) Facility observed rate | 98.5 |
| Visits near death (% decedents) | 90 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 25 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 30 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Provided Routine Home Care and other levels of care Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level | Yes |
| Provided Routine Home Care only The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level | No |
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
- 16D0038759
- Facility Type
- Hospital
- Certificate Effective Date
- July 31, 2025
- Certificate Expiration Date
- July 30, 2027
- Laboratory Director
- RASLEEN K. SALUJA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Gundersen Palmer Lutheran Hospital And Clinics - Hospice after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083663397, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WEST UNION, IA 52175
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083663397, enumerated 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.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Aspirus Health Plan, Quartz, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
