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ST LUKES HEALTH RESOURCES NPI 1457391849


NPI Information

NPI: 1457391849
Provider Name: ST LUKES HEALTH RESOURCES

Doing Business As: ST LUKES IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2730 PIERCE ST
SUITE 203
SIOUX CITY, IA
ZIP 51104
Phone: (712) 277-2030
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ST LUKES HEALTH RESOURCES is a radiology clinic center in Sioux City, IA. ST LUKES HEALTH RESOURCES NPI is 1457391849. The provider is registered as an organization entity type.
The provider Is Doing Business As St Lukes Imaging Center.

The provider's business location address is:

2730 PIERCE ST
SUITE 203
SIOUX CITY, IA
ZIP 51104-796
Phone: (712) 277-2030

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 enumeration date for this NPI number is 6/7/2006 and was last updated on 6/9/2008.


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
1261QR0200XClinic/CenterRadiologyYes

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
10276311MEDICAIDIOWA
2I7874MEDICARE PINIOWA
3470000727OTHERRR MEDICARE

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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