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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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