Organization
ST LUKES HEALTH RESOURCES
Active
Parent organization
ST LUKES HEALTH SYSTEM, INC
Other names
St Lukes Clinic Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HEALTH SYSTEM, INC
Authorized official
MR. JAMES L GOBELL (VICE PRESIDENT)
(712) 279-3949
Entity
Organization
Contact information
Practice address
2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
(712) 279-3380
(712) 279-7015
Mailing address
PO BOX 9375, DES MOINES, IA 50306-9375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1061
RR MEDICARE
—
Enumeration date
06/14/2006
Last updated
11/08/2013
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