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SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION NPI 1891791901


NPI Information

NPI: 1891791901
Provider Name: SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION

Doing Business As: CHEROKEE REGIONAL CLINIC - MARCUS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D0912311

Address:
300 E PINE ST
MARCUS, IA
ZIP 51035
Phone: (712) 376-4600
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SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION is a family medicine in Marcus, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION NPI is 1891791901. The provider is registered as an organization entity type.
The provider Is Doing Business As Cherokee Regional Clinic - Marcus.

The provider's business location address is:

300 E PINE ST
MARCUS, IA
ZIP 51035-196
Phone: (712) 376-4600
Fax: (712) 376-4709

The provider's authorized official is Joan M Bierman .
The authorized official title is Cfo and has the following contact phone number (712) 225-1505.

The CLIA number assigned to this NPI record is 16D0912311 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/23/2005 and was last updated on 7/10/2019.


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
1261QR1300XClinic/CenterRural HealthNo
2207Q00000XFamily MedicineYes

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
10105742MEDICAIDIOWA

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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