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
Phone: (712) 258-4511
Fax: (712) 258-7832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Voluntary or Charitable | 251V00000X | ADS005 | Iowa |
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750439501 | NPPES |
| Iowa | MEDICAID | 0082081 | |
| Iowa | MEDICAID | 0236539 |
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