Organization
LAKES REGIONAL HEALTHCARE
Active
Parent organization
LAKES REGIONAL HEALTHCARE
Other names
Northwest Iowa Emergency Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKES REGIONAL HEALTHCARE
Authorized official
STEVE ALGER (SR VP AND CFO)
(712) 336-8796
Entity
Organization
Contact information
Practice address
2301 HIGHWAY 71 SOUTH, SPIRIT LAKE, IA 51360
(712) 336-1230
(712) 336-8634
Mailing address
2301 HIGHWAY 71 SOUTH, PO BOX AB, SPIRIT LAKE, IA 51360-0159
(712) 336-1230
(712) 336-8634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300028H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250738
—
IA
01
—
19398NW
BCBS MN GROUP PHYSICIAN
IA
01
—
25073
BCBS IA GROUP PHYSICIAN
IA
Enumeration date
01/18/2007
Last updated
09/07/2018
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