Organization
GOODWILL OF THE GREAT PLAINS
Active
Other names
Wall Street Mission, Goodwill Industries
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN C FICK (VICE PRESIDENT MISSION ADVANCEMENT)
(712) 258-4511
Entity
Organization
Contact information
Practice address
3100 W 4TH ST, SIOUX CITY, IA 51103-3202
(712) 258-4511
(712) 258-7832
Mailing address
3100 W 4TH ST, SIOUX CITY, IA 51103-3202
(712) 258-4511
(712) 258-7832
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
ADS005
IA
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082081
—
IA
05
—
0236539
—
IA
Enumeration date
01/08/2007
Last updated
01/31/2024
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