Wall Street Mission

LBN: Goodwill Of The Great Plains
Wall Street Mission is an health care organization with primary practice located at 3100 W 4Th St , Sioux City IA 51103-3202. The organization recently has 4 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Rehabilitation. Agencies / Voluntary or Charitable is the primary health care specialty. Goodwill Of The Great Plains can be contacted via phone (712) 258-4511, or through Fick, Shawn C via phone (712) 258-4511.

Contact Information

Primary practice address
3100 W 4Th St Sioux City IA 51103-3202
Fax: (712) 258-7832
Website:
Authorized official contact:
Name: Fick, Shawn C

Profile Details

NPI number 1750439501
LBN Legal business name Goodwill Of The Great Plains
DBA Doing business as Wall Street Mission
Authorized official Fick, Shawn C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 31st, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750439501 NPPES
Iowa MEDICAID 0082081
Iowa MEDICAID 0236539

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