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Contact Information

SIOUX VALLEY REGIONAL HEALTH SERVICES
204 MARKET ST.
LAKE PARK, IA51347
 Phone: 712-832-9559
 Fax: 712-832-3801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SIOUX VALLEY REGIONAL HEALTH SERVICES

NPI # 1619050929
LBN Legal business name SIOUX VALLEY REGIONAL HEALTH SERVICES
Authorized official JOEL GUSTAFSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA Medicaid 0689091
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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