Organization Active NPI

Siouxland Community Health Center

  • Clinic Pharmacy
  • Sioux City, IA
National Provider Identifier
1720901408
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SIOUXLAND COMMUNITY HEALTH CENTER
Practice address
4230 War Eagle Dr
Sioux City, IA 51109-1700
Phone
(712) 224-4320
Fax
(712) 224-4341
NPI assigned
Jul 31, 2026
Organization subpart
Yes
Parent organization
SIOUXLAND COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

4230 War Eagle Dr
Sioux City, IA 51109-1700

Mailing address

4230 War Eagle Dr
Sioux City, IA 51109-1700
Phone (712) 224-4320

Other names 1

  • Siouxland Community Health Riverside Pharmacy Doing business as

National Provider Directory

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

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1720901408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 WAR EAGLE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511091700",
            "telephone_number": "712-224-4320",
            "fax_number": "712-224-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 WAR EAGLE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511091700",
            "telephone_number": "712-224-4320",
            "fax_number": "712-224-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOUXLAND COMMUNITY HEALTH CENTER",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-226-9010"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siouxland Community Health Riverside Pharmacy",
            "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 Jul 31, 2026; 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.