NPIMap

Organization Active NPI

Marian Health Center-SMHC

  • Home Infusion Therapy Pharmacy
  • Sioux City, IA
National Provider Identifier
1114981792
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
604 Issued in IA
Legal business name
MARIAN HEALTH CENTER-SMHC
Practice address
801 5TH St
Ste 2211
Sioux City, IA 51101-1394
Phone
(712) 279-5880
Fax
(712) 279-5888
NPI assigned
Apr 12, 2006
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Mr. James G Fitzpatrick
Title
President/Ceo
Phone
(712) 279-2297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 604 IA Primary

Addresses

Primary practice location

801 5TH St
Ste 2211
Sioux City, IA 51101-1394

Mailing address

801 5TH St
Ste 2211
Sioux City, IA 51101-1394
Phone (712) 279-5880

Other identifiers 2

IdentifierTypeStateIssuer
0140780MedicaidIA
8533770MedicaidSD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

801 5th St
Ste 2211
Sioux City, IA 51101
Phone (712) 279-2569

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1114981792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "address_2": "STE 2211",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011394",
            "telephone_number": "712-279-5880",
            "fax_number": "712-279-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "address_2": "STE 2211",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011394",
            "telephone_number": "712-279-5880",
            "fax_number": "712-279-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HEALTH CENTER-SMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "712-279-2297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IA",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140780",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8533770",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.