Organization
GOODWILL OF THE GREAT PLAINS
Active
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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