HOSPICE OF SIOUXLAND NPI 1063485365

NPI Information

NPI: 1063485365
Provider Name: HOSPICE OF SIOUXLAND
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 16D0699190

Address:
309 COOK ST
SIOUX CITY, IA
ZIP 51103
Phone: (712) 233-4144
Get Directions

HOSPICE OF SIOUXLAND is a hospice care community based in Sioux City, IA. HOSPICE OF SIOUXLAND NPI is 1063485365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 COOK ST
SIOUX CITY, IA
ZIP 51103-707
Phone: (712) 233-4144

The provider's authorized official is Jacqueline M. Kreber .
The authorized official title is Executive Director and has the following contact phone number (712) 252-9301.

The CLIA number assigned to this NPI record is 16D0699190 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0615021	MEDICAID	IOWA
2	10025149000	MEDICAID	NEBRASKA
3	0154102	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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