NPIMap

Organization Active NPI

Woodbury County Government

Doing business as Siouxland District Health Department

  • Clinical Medical Laboratory
  • Sioux City, IA
National Provider Identifier
1073617080
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
16D0648020 Issued in IA
Legal business name
WOODBURY COUNTY GOVERNMENT
Doing business as
Siouxland District Health Department
Practice address
1014 Nebraska St
Sioux City, IA 51105-1435
Phone
(712) 279-6119
Fax
(712) 255-2601
NPI assigned
Sep 11, 2006
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Grieme, MS BS
Title
Health Director
Phone
(712) 279-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 16D0648020 IA Primary

Addresses

Primary practice location

1014 Nebraska St
Sioux City, IA 51105-1435

Mailing address

1014 Nebraska St
Sioux City, IA 51105-1435
Phone (712) 279-6119

Other identifiers 1

IdentifierTypeStateIssuer
0447417MedicaidIA

Other names 1

  • Siouxland District Health Department Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0648020Siouxland District Health Department1014 Nebraska Street, Sioux City, IA 51105ComplianceAug 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Woodbury County Iowa11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1073617080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051435",
            "telephone_number": "712-279-6119",
            "fax_number": "712-255-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051435",
            "telephone_number": "712-279-6119",
            "fax_number": "712-255-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "GRIEME",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "712-279-6119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "16D0648020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447417",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siouxland District Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.