Marian Health Center -SMHC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

970112H Issued in IA

Legal business name

MARIAN HEALTH CENTER -SMHC

Doing business as

MercyOne Siouxland Medical Center

Practice address

801 5TH St
Sioux City, IA 51101-1326

Phone

(712) 279-2010

Fax

(712) 279-5681

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mariah A Ballantyne

Title

Manager, Provider Enrollment

Phone

(641) 428-3086

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MercyOne Siouxland Medical Center Doing business as

Member of 2

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

• Mercy Health Services-Iowa Corp

  • Pharmacy
  • Clear Lake, IA
  • NPI 1639625155

  Member Of

  NPD member
• Trinity Health - Michigan

  dba Trinity Health Pharmacy - Towers Ann Arbor

  • Community/Retail Pharmacy
  • Ann Arbor, MI
  • NPI 1417029034

  Member Of

  NPD member

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1679508022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HEALTH CENTER -SMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "BALLANTYNE",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "641-428-3086"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IA",
            "license": "970112H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005068000",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLX",
            "identifier": "6S153",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235060",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Siouxland Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucas Steven Mann, LMHC
• Kathleen S Manning, CRNA
• Denise Acker Marandola, PH.D
• Kristina A Marburger, D.O.
• Keali Renae Mari, DPT
• Marian Health Center -SMHC (Mercy Medical Center-Sioux City)
• Marian Health Center-SMHC
• Marian Health Center-SMHC (MercyOne Siouxland Medical Center)
• Marian Health Center-SMHC (MercyOne Center Sioux City-DME)
• Marian Health Center-SMHC (MercyOne Siouxland Medical Center)

• Psychiatric Hospital Unit in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychiatric Hospital Unit in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.