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Contact Information

SIOUXLAND COMMUNITY HEALTH CENTER
1021 NEBRASKA STREET
SIOUX CITY, IA51104
 Phone: 712-255-4204
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SIOUXLAND COMMUNITY HEALTH CENTER

NPI # 1700967833
LBN Legal business name SIOUXLAND COMMUNITY HEALTH CENTER
Authorized official CLARA PETERSON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 12/19/2025 - About 6 months ago
Identifiers
IA Medicaid 0264432
IA Medicaid 1700967833
SD Medicaid 5355000
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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