Organization
NORTHWEST IOWA HOSPITAL CORPORATION
Active
Other names
St Lukes Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM GOEBELL (CFO)
(712) 279-3934
Entity
Organization
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
PO BOX 7382, DES MOINES, IA 50309-7382
(712) 279-3500
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
97S146
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025179500
—
NE
01
—
6S146
BLUE CROSS
IA
Enumeration date
10/03/2006
Last updated
02/02/2012
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