NPIMap

Organization Active NPI

Woodbury County Government

Doing business as Siouxland District Health Department

  • Home Health Agency
  • Sioux City, IA
National Provider Identifier
1720087687
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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) 255-2605
NPI assigned
Jul 21, 2005
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
Director of Health
Phone
(712) 279-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 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
0670109MedicaidIA

Other names 1

  • Siouxland District Health Department Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1720087687",
    "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": "712-255-2605"
        },
        {
            "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": "712-255-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "GRIEME",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "712-279-6119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670109",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.