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NORTHWEST IOWA HOSPITAL CORPORATION NPI 1194764001


NPI Information

NPI: 1194764001
Provider Name: NORTHWEST IOWA HOSPITAL CORPORATION

Doing Business As: ST LUKES CLINIC NETWORK

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 16D0385289

Address:
2720 STONE PARK BLVD
ROOM 629
SIOUX CITY, IA
ZIP 51104
Phone: (712) 279-3380
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NORTHWEST IOWA HOSPITAL CORPORATION is an internal medicine in Sioux City, IA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTHWEST IOWA HOSPITAL CORPORATION NPI is 1194764001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Clinic Network.

The provider's business location address is:

2720 STONE PARK BLVD
ROOM 629
SIOUX CITY, IA
ZIP 51104-734
Phone: (712) 279-3380
Fax: (712) 279-7015

The provider's authorized official is Mark A Johnson .
The authorized official title is Vice President and has the following contact phone number (712) 279-3934.

The CLIA number assigned to this NPI record is 16D0385289 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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