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SIOUXLAND COMMUNITY HEALTH CENTER NPI 1700967833


NPI Information

NPI: 1700967833
Provider Name: SIOUXLAND COMMUNITY HEALTH CENTER

Doing Business As: SIOUXLAND COMMUNITY HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1021 NEBRASKA STREET
SIOUX CITY, IA
ZIP 51104
Phone: (712) 255-4204
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SIOUXLAND COMMUNITY HEALTH CENTER is a clinic pharmacy pharmacy in Sioux City, IA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. SIOUXLAND COMMUNITY HEALTH CENTER NPI is 1700967833. The provider is registered as an organization entity type.
The provider Is Doing Business As Siouxland Community Health Center Pharmacy.

The provider's business location address is:

1021 NEBRASKA STREET
SIOUX CITY, IA
ZIP 51104
Phone: (712) 255-4204

The provider's authorized official is Jan Anderson .
The authorized official title is Cfo and has the following contact phone number (712) 202-1002.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/20/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10264432MEDICAIDIOWA
2=========12MEDICAIDNEBRASKA
31700967833MEDICAIDIOWA
45355000MEDICAIDSOUTH 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: 11/14/2023

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