| Siouxland Community Health Center | |
|
1021 Nebraska St Sioux City IA 51105-1436 | |
| (712) 252-2477 | |
| (712) 252-5516 |
| Full Name | Siouxland Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Nebraska St, Sioux City, Iowa |
| Authorized Official Name and Position | Jan Anderson (CFO) |
| Authorized Official Contact | 7122522477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siouxland Community Health Center 1021 Nebraska St Sioux City IA 51105-1436 Ph: (712) 252-2477 | Siouxland Community Health Center 1021 Nebraska St Sioux City IA 51105-1436 Ph: (712) 252-2477 |
| NPI Number | 1558355305 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 9931099546 |
|---|---|
| Medicare Enrollment ID | O20040317001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558355305 | NPI | - | NPPES |
| 0092080 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth N Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639134034 PECOS PAC ID: 8820076417 Enrollment ID: I20040709001258 |
| Provider Name | Amy M Rief Elks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194790659 PECOS PAC ID: 1759342553 Enrollment ID: I20041025000908 |
| Provider Name | Kristi D Walz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144214248 PECOS PAC ID: 8729089453 Enrollment ID: I20070124000302 |
| Provider Name | Ann M Pick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164416269 PECOS PAC ID: 7810999711 Enrollment ID: I20070206000354 |
| Provider Name | Kelly M Ragaller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801992532 PECOS PAC ID: 5092717926 Enrollment ID: I20070219000097 |
| Provider Name | Christopher L Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780877878 PECOS PAC ID: 9739273582 Enrollment ID: I20070924000561 |
| Provider Name | Rebecca E Walding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215125216 PECOS PAC ID: 3577642644 Enrollment ID: I20080501000238 |
| Provider Name | Stacie A Webner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992946172 PECOS PAC ID: 3072663475 Enrollment ID: I20090605000139 |
| Provider Name | Shelly Kay Backhaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659607083 PECOS PAC ID: 2860528353 Enrollment ID: I20100414000336 |
| Provider Name | Mary G Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093757999 PECOS PAC ID: 7416085865 Enrollment ID: I20100506000054 |
| Provider Name | Tracey A Pick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760444558 PECOS PAC ID: 3274661418 Enrollment ID: I20100510000670 |
| Provider Name | Steven F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847365 PECOS PAC ID: 1153451380 Enrollment ID: I20100614000607 |
| Provider Name | Michael Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023093580 PECOS PAC ID: 2365573359 Enrollment ID: I20100708001006 |
| Provider Name | Michael Piplani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528060696 PECOS PAC ID: 4183768211 Enrollment ID: I20110614000762 |
| Provider Name | Dena R Neiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336418425 PECOS PAC ID: 8325206295 Enrollment ID: I20120223000222 |
| Provider Name | Nicole Rosenkrans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568711786 PECOS PAC ID: 2062662018 Enrollment ID: I20121029000098 |
| Provider Name | Melissa N Holtz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427254002 PECOS PAC ID: 8426294760 Enrollment ID: I20130411000473 |
| Provider Name | Angela J Aldrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679570576 PECOS PAC ID: 0749272219 Enrollment ID: I20130411000581 |
| Provider Name | Tauhni Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962409862 PECOS PAC ID: 8426044785 Enrollment ID: I20130411000586 |
| Provider Name | Paul J Eastman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295732139 PECOS PAC ID: 2062408321 Enrollment ID: I20130411000592 |
| Provider Name | Shannon Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316389497 PECOS PAC ID: 8628202249 Enrollment ID: I20131014000714 |
| Provider Name | Thomas G Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073600755 PECOS PAC ID: 7315948387 Enrollment ID: I20131231001824 |
| Provider Name | Leslie Mcdonald Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528148103 PECOS PAC ID: 4688777006 Enrollment ID: I20140131000537 |
| Provider Name | Staci L Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586757 PECOS PAC ID: 3870738164 Enrollment ID: I20140212000796 |
| Provider Name | Julie A Elbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891755906 PECOS PAC ID: 0941439863 Enrollment ID: I20140218001295 |
| Provider Name | Tonya K Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109595 PECOS PAC ID: 1153557145 Enrollment ID: I20140308000042 |
| Provider Name | Dylan C Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013355759 PECOS PAC ID: 7517107261 Enrollment ID: I20141027001818 |
| Provider Name | Tyler J Wendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760821680 PECOS PAC ID: 7012159759 Enrollment ID: I20141212002213 |
| Provider Name | Hannah I Dewald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790040269 PECOS PAC ID: 8921222407 Enrollment ID: I20160628000148 |
| Provider Name | Kelly A Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205249562 PECOS PAC ID: 4587988704 Enrollment ID: I20160728000985 |
| Provider Name | Cynthia J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555638 PECOS PAC ID: 7113200288 Enrollment ID: I20170215001944 |
| Provider Name | Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195970 PECOS PAC ID: 6608162011 Enrollment ID: I20171009000684 |
| Provider Name | Jamie Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538671961 PECOS PAC ID: 3476811225 Enrollment ID: I20171227001854 |
| Provider Name | Carol Madsen Watchorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124354352 PECOS PAC ID: 0840551495 Enrollment ID: I20180223000408 |
| Provider Name | Heather Jo Stehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217529 PECOS PAC ID: 7416201652 Enrollment ID: I20181107000858 |
| Provider Name | Joni Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225353097 PECOS PAC ID: 5294850780 Enrollment ID: I20190801002543 |
| Provider Name | Tiffany Samuelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083075006 PECOS PAC ID: 4880026848 Enrollment ID: I20191112002461 |
| Provider Name | Viridiana Munoz De Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942896691 PECOS PAC ID: 7911311584 Enrollment ID: I20210122002417 |
| Provider Name | Megan Lynn Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427711563 PECOS PAC ID: 8820487002 Enrollment ID: I20211109001855 |
| Provider Name | Sommer Tiffany Korth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598117434 PECOS PAC ID: 4486927092 Enrollment ID: I20220512001806 |
| Provider Name | Natalie L Rosenboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609534684 PECOS PAC ID: 5092195776 Enrollment ID: I20220712002686 |
| Provider Name | Chandler A Kasuske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831684992 PECOS PAC ID: 2466701164 Enrollment ID: I20220714003421 |
| Provider Name | Rachel G Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528796430 PECOS PAC ID: 4284018102 Enrollment ID: I20220826000403 |
| Provider Name | Seth Michael Dunne |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316518103 PECOS PAC ID: 0244602027 Enrollment ID: I20230203000339 |
| Provider Name | Blake Maryn Kuiper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720504020 PECOS PAC ID: 0143693358 Enrollment ID: I20230308001276 |
| Provider Name | Laura Jeanne Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154001402 PECOS PAC ID: 0941663058 Enrollment ID: I20230822003734 |
| Provider Name | Kelsey Marie Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285315333 PECOS PAC ID: 7810350816 Enrollment ID: I20230823003401 |
| Provider Name | Darcy Rochelle Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316627672 PECOS PAC ID: 8325401714 Enrollment ID: I20230901000741 |
| Provider Name | Syreeta Tisha Mctavous |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205145596 PECOS PAC ID: 2365886058 Enrollment ID: I20240221002679 |
| Provider Name | Emily L Oberle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265057533 PECOS PAC ID: 2466877873 Enrollment ID: I20240723002314 |
| Provider Name | Valeria Magana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457173965 PECOS PAC ID: 0941738520 Enrollment ID: I20250109003230 |
Affordable Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-258-4350 | |
Northwest Iowa Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Room 629, Sioux City, IA 51104 Phone: 712-279-3380 Fax: 712-279-7015 | |
James L. Hartje M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 Pierce St, Suite 403, Sioux City, IA 51104 Phone: 712-255-5835 Fax: 712-234-1140 | |
Mercy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Jones St, Suite 5400, Sioux City, IA 51101 Phone: 712-279-2510 Fax: 712-279-2519 | |
Mercy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 5th St, Suite 201, Sioux City, IA 51101 Phone: 712-279-2400 Fax: 712-279-5883 | |
Nebraska Hearing Instruments Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 14th St Ste B, Sioux City, IA 51105 Phone: 402-933-1453 | |
Tops Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Pierce St, Suite 101, Sioux City, IA 51104 Phone: 712-224-8678 Fax: 712-277-1662 |