| Sioux Valley Memorial Hospital Association | |
|
225 Main St Aurelia IA 51005-7791 | |
| (712) 434-2101 | |
| (712) 434-5550 |
| Full Name | Sioux Valley Memorial Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 225 Main St, Aurelia, Iowa |
| Authorized Official Name and Position | Joan M Bierman (CFO) |
| Authorized Official Contact | 7122253368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sioux Valley Memorial Hospital Association 300 Sioux Valley Dr Cherokee IA 51012-1205 Ph: (712) 225-6265 | Sioux Valley Memorial Hospital Association 225 Main St Aurelia IA 51005-7791 Ph: (712) 434-2101 |
| NPI Number | 1083610190 |
|---|---|
| Provider Enumeration Date | 06/23/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4880501881 |
|---|---|
| Medicare Enrollment ID | O20040317001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083610190 | NPI | - | NPPES |
| 0105742 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| Provider Name | Linda Grauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154322402 PECOS PAC ID: 6608773817 Enrollment ID: I20031229000884 |
| Provider Name | Wesley A Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790780476 PECOS PAC ID: 6103891924 Enrollment ID: I20040826000461 |
| Provider Name | David L Paustian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841289311 PECOS PAC ID: 3476552043 Enrollment ID: I20061208000063 |
| Provider Name | Jeremy John Vande Zande |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679589303 PECOS PAC ID: 4082613393 Enrollment ID: I20061214000518 |
| Provider Name | Lisa M Ducommun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023105616 PECOS PAC ID: 8325048069 Enrollment ID: I20070115000298 |
| Provider Name | Christian Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346206158 PECOS PAC ID: 6204936115 Enrollment ID: I20070706000329 |
| Provider Name | Monica L Firme |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396957395 PECOS PAC ID: 9830290444 Enrollment ID: I20070726000636 |
| Provider Name | Stephanie M Krauth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275599730 PECOS PAC ID: 5597863035 Enrollment ID: I20080805000613 |
| Provider Name | Stephen J Veit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988159 PECOS PAC ID: 8820080120 Enrollment ID: I20090102000468 |
| Provider Name | Ronald A Kay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861462541 PECOS PAC ID: 2264345826 Enrollment ID: I20090105000362 |
| Provider Name | Kim N Hurtig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972692663 PECOS PAC ID: 4284786682 Enrollment ID: I20090716000023 |
| Provider Name | Samuel J Rickerl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437103736 PECOS PAC ID: 5597855742 Enrollment ID: I20091207000118 |
| Provider Name | Steven Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083722219 PECOS PAC ID: 0749272003 Enrollment ID: I20100312000191 |
| Provider Name | Scott Daniel Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457435760 PECOS PAC ID: 4183751126 Enrollment ID: I20100422000455 |
| Provider Name | Timothy G Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841295532 PECOS PAC ID: 6002947207 Enrollment ID: I20100702000422 |
| Provider Name | Christopher M Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235309139 PECOS PAC ID: 3678644754 Enrollment ID: I20100716000427 |
| Provider Name | Jill M Paulsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093988537 PECOS PAC ID: 1456430586 Enrollment ID: I20100728000594 |
| Provider Name | Benjamin Md Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225291487 PECOS PAC ID: 0143344036 Enrollment ID: I20100830000478 |
| Provider Name | Leigh Gilburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235251562 PECOS PAC ID: 3173624418 Enrollment ID: I20121130000417 |
| Provider Name | Dustin J Delaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801186721 PECOS PAC ID: 4082868138 Enrollment ID: I20130125000449 |
| Provider Name | Abby J Tentinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730521584 PECOS PAC ID: 9133353642 Enrollment ID: I20131015001950 |
| Provider Name | Gabriel John Scheer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902241474 PECOS PAC ID: 6103051545 Enrollment ID: I20131021000847 |
| Provider Name | Michael Khalil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124080015 PECOS PAC ID: 4688695638 Enrollment ID: I20140122001571 |
| Provider Name | Rebecca Jean Mogensen-kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194108662 PECOS PAC ID: 3274847769 Enrollment ID: I20150728004573 |
| Provider Name | Traci L Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442957 PECOS PAC ID: 8921393943 Enrollment ID: I20160829003367 |
| Provider Name | Brooke R Fiddelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275056608 PECOS PAC ID: 1052684818 Enrollment ID: I20170830002421 |
| Provider Name | Jeremy Roger Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598272643 PECOS PAC ID: 0244594232 Enrollment ID: I20180510000416 |
| Provider Name | Austin D Langel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457713828 PECOS PAC ID: 2668729393 Enrollment ID: I20180725003934 |
| Provider Name | Todd R Luedeke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700832839 PECOS PAC ID: 2466354907 Enrollment ID: I20181108002814 |
| Provider Name | Misty Kleinmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972034528 PECOS PAC ID: 1557698321 Enrollment ID: I20190816001498 |
| Provider Name | Marie E Akerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477890895 PECOS PAC ID: 3476794181 Enrollment ID: I20190912002686 |
| Provider Name | Marcia K Maronn-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063455418 PECOS PAC ID: 8527045558 Enrollment ID: I20200319000305 |
| Provider Name | Angela C Boll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114542834 PECOS PAC ID: 8224454004 Enrollment ID: I20200812000195 |
| Provider Name | Nicholas C Loughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336679588 PECOS PAC ID: 9638429590 Enrollment ID: I20201110003039 |
| Provider Name | Devin Holt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073036174 PECOS PAC ID: 8325310568 Enrollment ID: I20210519001002 |
| Provider Name | Elias K Melly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811546559 PECOS PAC ID: 4880926997 Enrollment ID: I20210928001332 |
| Provider Name | Sean Darrell Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477044758 PECOS PAC ID: 2466708508 Enrollment ID: I20211001000592 |
| Provider Name | Craig John Bergh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780649715 PECOS PAC ID: 5890705917 Enrollment ID: I20220308002697 |
| Provider Name | Shelby Wigginton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083107452 PECOS PAC ID: 4880942507 Enrollment ID: I20220310001352 |
| Provider Name | Adel Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497702542 PECOS PAC ID: 8527053347 Enrollment ID: I20220329002620 |
| Provider Name | Carmelle A Mcharg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609979194 PECOS PAC ID: 7810927043 Enrollment ID: I20220718000763 |
| Provider Name | John R Greaves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134617442 PECOS PAC ID: 8628477015 Enrollment ID: I20220810001288 |
| Provider Name | Leah Brenda Okoth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962042275 PECOS PAC ID: 3072940204 Enrollment ID: I20221010001992 |
| Provider Name | Frank Klanduch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245283241 PECOS PAC ID: 1951386333 Enrollment ID: I20221110000930 |
| Provider Name | William L Garner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518909431 PECOS PAC ID: 6103845615 Enrollment ID: I20230801001216 |
| Provider Name | Dinesh Arora |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104323641 PECOS PAC ID: 9234593005 Enrollment ID: I20230922001549 |
| Provider Name | Brandon Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396136107 PECOS PAC ID: 0648599340 Enrollment ID: I20231106003078 |
| Provider Name | Marie L Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962898254 PECOS PAC ID: 6305294406 Enrollment ID: I20231130000833 |
| Provider Name | Britt J Andersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235755216 PECOS PAC ID: 5496108581 Enrollment ID: I20240124004623 |
| Provider Name | Cynthia Sebring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447648860 PECOS PAC ID: 2365899606 Enrollment ID: I20240127000285 |
| Provider Name | Dawson B Cabbage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609108398 PECOS PAC ID: 8527195106 Enrollment ID: I20240205003430 |
| Provider Name | Sharrod Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962994756 PECOS PAC ID: 1456602408 Enrollment ID: I20240525000363 |
| Provider Name | Olga R Garcia |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356721344 PECOS PAC ID: 5193123446 Enrollment ID: I20240828001511 |
| Provider Name | Henry Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114348034 PECOS PAC ID: 1153600408 Enrollment ID: I20240828003338 |
| Provider Name | Katrina Youngblood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124394986 PECOS PAC ID: 7214191402 Enrollment ID: I20240920000894 |
| Provider Name | Annette A Aljets |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255938213 PECOS PAC ID: 7517494511 Enrollment ID: I20250102000529 |