GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - FAYETTE
NPI 1558722579
Clinic/Center - Rural Health in Fayette, IA

Active since March 18, 2016CLIA 16D0386325 · Microscopy
110 KING ST, FAYETTE, IA 52142(563) 425-3381 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2018, Sep 13, 2017, Mar 18, 2016 (3 updates tracked since 2016).

About Gundersen Palmer Lutheran Hospital And Clinics - Fayette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS - FAYETTE (NPI 1558722579) is a healthcare organization registered as a rural health in Fayette, Iowa and active in the NPI registry since March 2016. The organization holds a CLIA Microscopy certificate valid through April 14, 2027 and lists Patrice Kuennen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558722579
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePALMER LUTHERAN HEALTH CENTER, INC.
Location Address110 KING STFayette, IA 52142-9735
Mailing Address110 King StFayette, IA 52142-9735 · (563) 425-3381
Organization SubpartYesParent: Gundersen Lutheran Health System, Inc.
Authorized OfficialPatrice KuennenCeo · (563) 422-3811
Enumeration DateMarch 18, 2016
Last NPPES UpdateNovember 29, 20183 updates tracked since enumeration
NPI 1558722579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
110 KING ST, Fayette, IA 52142

Other Names 1

Doing Business AsGundersen Palmer Lutheran Hospital And Clinics - Fayette

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D0386325

Gundersen Palmer Lutheran Hospital And Clinics Fayette Clinic · Fayette, IA
Active · expires Apr 14, 2027
CLIA Number16D0386325
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorBetty J. Tilleraas
Laboratory Phone(563) 425-3381
Laboratory LocationGundersen Palmer Lutheran Hospital And Clinics Fayette Clinic110 King Street, Fayette, IA 52142
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palmer Lutheran Health Center, Inc.'s NPI number?

The NPI number for Palmer Lutheran Health Center, Inc. is 1558722579. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is doing business as Gundersen Palmer Lutheran Hospital And Clinics - Fayette.

Where is Palmer Lutheran Health Center, Inc. located?

Palmer Lutheran Health Center, Inc. is located at 110 King St, Fayette, IA 52142. The listed phone number is (563) 425-3381.

What is Palmer Lutheran Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Palmer Lutheran Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0386325) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmer Lutheran Health Center, Inc. accept?

Health plans from Aspirus Health Plan and Quartz list Palmer Lutheran Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmer Lutheran Health Center, Inc. was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.