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NORTHWEST IOWA HOSPITAL CORPORATION NPI 1215962550


NPI Information

NPI: 1215962550
Provider Name: NORTHWEST IOWA HOSPITAL CORPORATION

Doing Business As: ST. LUKE'S REGIONAL MEDICAL CENTER

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
2720 STONE PARK BLVD
SIOUX CITY, IA
ZIP 51104
Phone: (712) 279-3789
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NORTHWEST IOWA HOSPITAL CORPORATION is an emergency medical services emergency medicine in Sioux City, IA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. NORTHWEST IOWA HOSPITAL CORPORATION NPI is 1215962550. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Regional Medical Center.

The provider's business location address is:

2720 STONE PARK BLVD
SIOUX CITY, IA
ZIP 51104-734
Phone: (712) 279-3789

The provider's authorized official is James L Gobell .
The authorized official title is Vp/cfo and has the following contact phone number (712) 279-3934.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/13/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2208000000XPediatrics180HIOWANo
3208M00000XHospitalist180HIOWANo
4207Y00000XOtolaryngology180HIOWANo
5207PE0004XEmergency MedicineEmergency Medical Services180HIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155507MEDICARE ID-TYPE UNSPECIFIEDIOWASINGLE BILLING NUMBER
2CN2172OTHERIOWARAIL ROAD MEDICARE NUMBER

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: 4/28/2024

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