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ST LUKES HEALTH RESOURCES NPI 1528001492


NPI Information

NPI: 1528001492
Provider Name: ST LUKES HEALTH RESOURCES

Doing Business As: ST LUKES CLINIC NETWORK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2720 STONE PARK BLVD
ROOM 629
SIOUX CITY, IA
ZIP 51104
Phone: (712) 279-3380
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ST LUKES HEALTH RESOURCES is a family medicine in Sioux City, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST LUKES HEALTH RESOURCES NPI is 1528001492. 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 James L Gobell .
The authorized official title is Vice President and has the following contact phone number (712) 279-3949.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 11/8/2013.


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
1207R00000XInternal MedicineNo
2207Y00000XOtolaryngologyNo
3208100000XPhysical Medicine & RehabilitationNo
4208600000XSurgeryNo
5363LF0000XNurse PractitionerFamilyIOWANo
6213ES0103XPodiatristFoot & Ankle SurgeryNo
7363AM0700XPhysician AssistantMedicalNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
10207Q00000XFamily MedicineYes

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
121964MEDICARE PINIOWA
2CG1061OTHERRR MEDICARE
3098202MEDICARE PINNEBRASKA

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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