Healthcare Provider Details

I. General information

NPI: 1487722575
Provider Name (Legal Business Name): MID-STEP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 PORT NEAL RD
SERGEANT BLUFF IA
51054-8098
US

IV. Provider business mailing address

4303 STONE AVE
SIOUX CITY IA
51106-1912
US

V. Phone/Fax

Practice location:
  • Phone: 712-274-2252
  • Fax: 712-276-0321
Mailing address:
  • Phone: 712-274-2252
  • Fax: 712-276-0321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateIA

VIII. Authorized Official

Name: MRS. PATTI LYNN SYKORA
Title or Position: ACCOUNTING SPECIALIST
Credential:
Phone: 712-274-2252