Organization · Type 2 NPI

Goodwill of the Great Plains

Voluntary or Charitable Agency · Sioux City, IA

NPI number 1750439501 Active

Practice location

3100 W 4th St
Sioux City, IA 51103-3202

Fax (712) 258-7832

Specialties and licenses

Taxonomy	Code	License
Voluntary or Charitable Agency Primary	251V00000X	ADS005 (IA)
Adult Day Care Clinic/Center	261QA0600X	None listed
Developmental Disabilities Clinic/Center	261QD1600X	None listed
Rehabilitation Clinic/Center	261QR0400X	None listed

Voluntary or Charitable Agency: Definition to come...

NPI record

NPI: 1750439501
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Jan 31, 2024
Status: Active

Other names

<unavail>
Goodwill Industries · doing business as
Wall Street Mission · former legal business name

Authorized official

Shawn C Fick
Vice President Mission Advancement
(712) 258-4511

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750439501

Goodwill of the Great Plains's National Provider Identifier is 1750439501, issued on Jan 8, 2007. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Sioux City, IA. The record was last updated on Jan 31, 2024.