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SIOUXLAND REGIONAL CANCER CENTER NPI 1114904604


NPI Information

NPI: 1114904604
Provider Name: SIOUXLAND REGIONAL CANCER CENTER

Doing Business As: JUNE E NYLEN CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 16D0385322

Address:
230 NEBRASKA ST
SIOUX CITY, IA
ZIP 51101
Phone: (712) 252-0088
Get Directions

SIOUXLAND REGIONAL CANCER CENTER is a hematology and oncology internal medicine in Sioux City, IA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SIOUXLAND REGIONAL CANCER CENTER NPI is 1114904604. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As June E Nylen Cancer Center.

The provider's business location address is:

230 NEBRASKA ST
SIOUX CITY, IA
ZIP 51101-733
Phone: (712) 252-0088
Fax: (712) 252-9404

The provider's authorized official is Krista J Mccullough .
The authorized official title is Executive Director and has the following contact phone number (712) 252-9301.

The CLIA number assigned to this NPI record is 16D0385322 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 6/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10460568MEDICAIDIOWA
210025264400MEDICAIDNEBRASKA
350928OTHERIOWAWELLMARK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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