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DSH160146P ST. LUKE'S REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ST. LUKE'S REGIONAL MEDICAL CENTER
Subdivision Name
NORTHWEST IOWA HOSPITAL CORPORATION - UnityPoint Health Pulmonology and Critical Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160146P
Medicare Provider Number
160146
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/20/2022
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
St Luke's Regional Medical Center
Leah Knapp, Vice President of Finance
(712) 279-3824
Primary Contact
St. Luke's Regional Medical Center
Paula K. Emerson, Pharmacy Manager
(712) 266-2630
Addresses
Street Address
2730 PIERCE ST STE 401
UNITYPOINT HEALTH - ST. LUKE'S PULMONOLOGY & C
SIOUX CITY, IA 51104-3766
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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