Siouxland Community Health Center Pharmacy

LBN: Siouxland Community Health Center
Siouxland Community Health Center Pharmacy is an health care organization with primary practice located at 1021 Nebraska Street , Sioux City IA 51104. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Siouxland Community Health Center can be contacted via phone (712) 255-4204, or through Anderson, Jan via phone (712) 202-1002.

Contact Information

Primary practice address
1021 Nebraska Street Sioux City IA 51104
Phone: (712) 255-4204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Jan
Phone: (712) 202-1002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1700967833
LBN Legal business name Siouxland Community Health Center
DBA Doing business as Siouxland Community Health Center Pharmacy
Authorized official Anderson, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700967833 NPPES
South Dakota MEDICAID 5355000
South Dakota MEDICAID 0264432
South Dakota MEDICAID 1700967833

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