NPIMap

Organization Active NPI

Northwest Iowa Hospital Corporation

Doing business as St Luke's Regional Medical Center SNF

  • Skilled Nursing Facility
  • Sioux City, IA
National Provider Identifier
1194610253
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHWEST IOWA HOSPITAL CORPORATION
Doing business as
St Luke's Regional Medical Center SNF
Practice address
801 5TH St FL 7
Sioux City, IA 51101-1326
Phone
(712) 279-5697
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST IOWA HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jane M Arnold
Title
Market President
Phone
(712) 279-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

801 5TH St FL 7
Sioux City, IA 51101-1326

Mailing address

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

Other names 1

  • ST LUKE'S REGIONAL MEDICAL CENTER SNF Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107001831 IA Part A Provider - Skilled Nursing Facility 0749198026 Practice locations: Sioux City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194610253. Details of each certification follow.

Skilled nursing facility certification: CCN 165620

Legal name
NORTHWEST IOWA HOSPITAL CORPORATION
Doing business as
ST LUKE'S REGIONAL MEDICAL CENTER SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 30, 2017
Last certification
Aug 8, 2024
Beds
20
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
801 5TH St
FL 7
Sioux City, IA 51101-1326
Nursing home name
ST LUKE'S REGIONAL MEDICAL CENTER SNF

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Luke's Regional Medical Center SNFCCN 165620 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 30, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
206.5 residents per day on average
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Radiology SVCS4 organizations share this tax ID, including this one
Part of
St Lukes Radiology SVCS

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Sayler Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Charles Edward Wolfe Individual Corporate Director Jan 1, 2022
Trinity Continuing Care Services Organization, Livonia, MI Corporation, Management services company, Non-profit Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 24, 2025
Renee M Beaulieu Individual Corporate Director Jan 1, 2020
Dennis Bullock Individual Corporate Director Jan 1, 2019
Organization, Des Moines, IA Corporation, Non-profit Adp of the SNF Sep 30, 2025
St. Luke's Health System, Inc. Organization, Sioux City, IA Corporation, Non-profit Operational/Managerial Control May 5, 2015
Leah L Knapp Individual Corporate OfficerVP of Finance Sep 10, 2023
Operational/Managerial Control Sep 10, 2023
Adp of the SNF Sep 1, 2025
Holly J Choquette Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Cara Drew Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Individual Adp of the SNF Sep 1, 2025
Organization, Iowa City, IA Non-profit Adp of the SNF Sep 24, 2025
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit, Chain home office Operational/Managerial Control Aug 1, 1996
Beth M Trejo Individual Corporate Director Jan 1, 2021
Jane M Arnold Individual Corporate OfficerMarket President Dec 1, 2015
Operational/Managerial Control Jun 19, 2000
Adp of the SNF Jul 1, 2025
Wendy L Lindley Individual Operational/Managerial Control Apr 16, 2017
Adp of the SNF Sep 1, 2025
Michael W Crone Individual Corporate Director Jan 1, 2018
Individual Adp of the SNF Sep 1, 2025
Angelo James Individual Corporate Director Jan 1, 2022
James E Palmer Individual Corporate Officer Jan 1, 2019
Corporate Director Jan 1, 2017
Hannah I Dewald Individual Corporate Director Jan 1, 2021
Garrett K Smith Individual Corporate Director Jan 1, 2008

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 84

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 84

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1194610253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-279-3500",
            "fax_number": "712-279-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST FL 7",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST IOWA HOSPITAL CORPORATION",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "712-279-3204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKE'S REGIONAL MEDICAL CENTER SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.