Healthcare Provider Details

I. General information

NPI: 1598215659
Provider Name (Legal Business Name): ALLEN MEMORIAL HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 PRAIRIE PKWY STE 106
CEDAR FALLS IA
50613-8155
US

IV. Provider business mailing address

5100 PRAIRIE PKWY STE 106
CEDAR FALLS IA
50613-8155
US

V. Phone/Fax

Practice location:
  • Phone: 319-222-2906
  • Fax: 319-222-2996
Mailing address:
  • Phone: 319-222-2906
  • Fax: 319-222-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number1587
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CLAYTON
Title or Position: REGIONAL DIRECTOR OF PHARMACY
Credential:
Phone: 319-235-3660