# NORTHWEST IOWA HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Lukes Clinic Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194764001
- **Authorized official:** MR. MARK A JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (712) 279-3934

## Contact information

- **Practice address:** 2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
- **Practice address phone:** (712) 279-3380
- **Practice address fax:** (712) 279-7015
- **Mailing address:** 2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
- **Mailing address phone:** (712) 279-3380
- **Mailing address fax:** (712) 279-7015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2020