# NORTHWEST IOWA HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke's Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215962550
- **Authorized official:** JAMES L GOBELL (VP/CFO)
- **Authorized official phone:** (712) 279-3934

## Contact information

- **Practice address:** 2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
- **Practice address phone:** (712) 279-3789
- **Mailing address:** 2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
- **Mailing address phone:** (712) 279-3500
- **Mailing address fax:** (712) 279-7958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 180H | IA | Yes |
| 207Y00000X | Otolaryngology Physician | 180H | IA | — |
| 208000000X | Pediatrics Physician | 180H | IA | — |
| 208M00000X | Hospitalist Physician | 180H | IA | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 03/13/2014