Organization Name: | GREATER SIOUX COMMUNITY HEALTH CENTER INC. |
NPI Number: | 1053582098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY DYKSTRA (EXECUTIVE DIRECTOR) |
Mailing Address: | 338 1st Ave. Nw Sioux Center |
State: | IA US |
Postal Code: | 512501214 |
Phone Number: | 7127221700 |
Fax Number: | 7127221770 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |