MEDICARE: GREATER SIOUX COMMUNITY HEALTH CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1568284701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER SIOUX COMMUNITY HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	33 4TH ST NW
Second Line	:
City	:	SIOUX CENTER
State	:	IA
Zip	:	51250-1870
Country	:	US
Telephone Number	:	712-722-1700
Fax Number	:	712-722-1770

Provider Business Practice Location Address
First Line	:	397 10TH ST SE
Second Line	:
City	:	SIOUX CENTER
State	:	IA
Zip	:	51250-1217
Country	:	US
Telephone Number	:	712-722-1541
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EMILY TUSCHEN
Credential	:
Telephone Number	:	712-722-1700

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/29/2024

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