| Sioux Valley Memorial Hospital Association | |
|
112 N Kiel St Holstein IA 51025-7717 | |
| (712) 368-4730 | |
| (712) 376-4709 |
| Full Name | Sioux Valley Memorial Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 N Kiel St, Holstein, Iowa |
| Authorized Official Name and Position | Joan M Bierman (CFO) |
| Authorized Official Contact | 7122251505 |
| 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 112 N Kiel St Holstein IA 51025-7717 Ph: (712) 368-4730 |
| NPI Number | 1174529283 |
|---|---|
| Provider Enumeration Date | 06/23/2005 |
| Last Update Date | 10/09/2015 |
| Medicare PECOS PAC ID | 4880501881 |
|---|---|
| Medicare Enrollment ID | O20090512000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174529283 | NPI | - | NPPES |
| 0634410 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ida County Iowa Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Kiel St, Holstein, IA 51025 Phone: 712-368-6300 Fax: 712-368-6304 |