Organization Active NPI

Siouxland Treatment Center

  • Community/Behavioral Health Agency
  • Sioux City, IA
National Provider Identifier
1396015509
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIOUXLAND TREATMENT CENTER
Practice address
2520 Glenn Ave
Sioux City, IA 51106-2768
Phone
(712) 274-1111
Fax
(712) 274-0000
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Jim Weiss
Title
Director of Quality Management
Phone
(877) 592-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2520 Glenn Ave
Sioux City, IA 51106-2768

Mailing address

2520 Glenn Ave
Sioux City, IA 51106-2768
Phone (712) 274-1111

National Provider Directory

National Provider Directory

Locations

2520 Glenn Ave
Sioux City, IA 51106
Phone (712) 274-1111

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1396015509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-274-1111",
            "fax_number": "712-274-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-274-1111",
            "fax_number": "712-274-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY MANAGEMENT",
        "authorized_official_telephone_number": "877-592-5901"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2012; 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.