NPIMap

Organization Active NPI

Siouxland Community Health Center

Doing business as Siouxland Community Health Center Pharmacy of Nebraska

  • Pharmacy
  • South Sioux City, NE
National Provider Identifier
1326706664
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SIOUXLAND COMMUNITY HEALTH CENTER
Doing business as
Siouxland Community Health Center Pharmacy of Nebraska
Practice address
3410 Futures Dr
South Sioux City, NE 68776-3917
Phone
(712) 252-2477
Fax
(712) 224-1895
NPI assigned
Dec 3, 2021
Organization subpart
Yes
Parent organization
SIOUXLAND COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Mark Donaldson
Title
Ceo
Phone
(712) 226-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3410 Futures Dr
South Sioux City, NE 68776-3917

Mailing address

1021 Nebraska St
Sioux City, IA 51105-1436
Phone (712) 252-2477

Other names 1

  • Siouxland Community Health Center Pharmacy of Nebraska Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519002087 NE DME Supplier - Pharmacy 9931099546 Practice locations: South Sioux City, NE

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Siouxland Community Health Center3410 Futures Dr, South Sioux City, NE 68776-3917(402) 412-7300 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts Accepts assignmentParticipating since Dec 3, 1993

National Provider Directory

National Provider Directory
Tax ID family
Siouxland Community HLT5 organizations share this tax ID, including this one
Part of
Siouxland Community HLT

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Siouxland Community Health Center South Sioux City ClinicSouth Sioux City, NE, CCN 281840 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2015
Dec 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Siouxland Community Health Center

    dba Siouxland Community Health Center of Nebraska

    • Federally Qualified Health Center (FQHC)
    • South Sioux City, NE
    • NPI 1912378480

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1326706664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051436",
            "telephone_number": "712-252-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FUTURES DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763917",
            "telephone_number": "712-252-2477",
            "fax_number": "712-224-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOUXLAND COMMUNITY HEALTH CENTER",
        "enumeration_date": "2021-12-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-226-9010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siouxland Community Health Center Pharmacy of Nebraska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.