June E Nylen Cancer Center

LBN: Siouxland Regional Cancer Center
June E Nylen Cancer Center is an health care organization with primary practice located at 230 Nebraska St , Sioux City IA 51101-1733. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Siouxland Regional Cancer Center can be contacted via phone (712) 252-0088, or through Mccullough, Krista J via phone (712) 252-9301.

Contact Information

Primary practice address
230 Nebraska St Sioux City IA 51101-1733
Phone: (712) 252-0088
Fax: (712) 252-9404
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, Krista J
Phone: (712) 252-9301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1114904604
LBN Legal business name Siouxland Regional Cancer Center
DBA Doing business as June E Nylen Cancer Center
Authorized official Mccullough, Krista J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Jun 24th, 2019 - about 5 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 1114904604 NPPES
Iowa MEDICAID 0460568
Iowa MEDICAID 10025264400
Iowa Other 50928

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