NPI Code Details Logo

NPI 1407107923

NPI 1407107923 : SIOUX CENTER HEALTH : SIOUX CENTER, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407107923
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SIOUX CENTER HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/24/2012
-----------------------------------------------------
    Last Update Date     |    04/20/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1101 9 ST SE 
-----------------------------------------------------
    City                 |    SIOUX CENTER
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    51250-2501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    712-722-2609
-----------------------------------------------------
    Fax                  |    712-722-8426
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1101 9 ST SE 
-----------------------------------------------------
    City                 |    SIOUX CENTER
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    51250-2501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    712-722-2609
-----------------------------------------------------
    Fax                  |    712-722-8426
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     CRYSTAL  RICHTER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    712-722-8153
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.