=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528950243
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTHWEST IOWA HOSPITAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2025
-----------------------------------------------------
Last Update Date | 08/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 TOWER RD STE 220
-----------------------------------------------------
City | DAKOTA DUNES
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57049-5098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-232-4270
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2720 STONE PARK BLVD
-----------------------------------------------------
City | SIOUX CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51104-3734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-279-3500
-----------------------------------------------------
Fax | 712-279-7958
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MARKET PRESIDENT
-----------------------------------------------------
Name | JANE M ARNOLD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 712-279-3204
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------