Organization
NORTHWEST IOWA HOSPITAL CORPORATION
Active
Other names
St. Luke's Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L GOBELL (VP/CFO)
(712) 279-3934
Entity
Organization
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3789
Mailing address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
(712) 279-7958
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
180H
IA
207Y00000X
Otolaryngology Physician
180H
IA
208000000X
Pediatrics Physician
180H
IA
208M00000X
Hospitalist Physician
180H
IA
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN2172
RAIL ROAD MEDICARE NUMBER
IA
Enumeration date
07/12/2006
Last updated
03/13/2014
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