| St Lukes Regional Medical Center | |
|
2720 Stone Park Blvd Sioux City IA 51104-3734 | |
| (712) 279-3500 | |
| Not Available |
| Full Name | St Lukes Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2720 Stone Park Blvd, Sioux City, Iowa |
| Authorized Official Name and Position | Jim Goebell (CFO) |
| Authorized Official Contact | 7122793934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Regional Medical Center Po Box 7382 Des Moines IA 50309-7382 Ph: (712) 279-3500 | St Lukes Regional Medical Center 2720 Stone Park Blvd Sioux City IA 51104-3734 Ph: (712) 279-3500 |
| NPI Number | 1376637512 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376637512 | NPI | - | NPPES |
| 10025179500 | Medicaid | NE | |
| 6S146 | Other | IA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 97S146 (Iowa) | Primary |
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