Marian Health Center -SMHC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970112H Issued in IA

Legal business name

MARIAN HEALTH CENTER -SMHC

Doing business as

Mercy Medical Center-Sioux City

Practice address

801 5TH St
Sixth Central SNF
Sioux City, IA 51101-1326

Phone

(712) 279-2010

Fax

(712) 279-5631

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jolene S Hansen

Title

Billing Manager

Phone

(712) 279-2263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Medical Center-Sioux City Doing business as

Tax ID family

Mercy Medical Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mercy Medical Lifeline

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1528100427
  NPD tax ID

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1780618157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "address_2": "SIXTH CENTRAL SNF",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "address_2": "SIXTH CENTRAL SNF",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HEALTH CENTER -SMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "712-279-2263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "970112H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "66153",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center-Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Skilled Nursing Facility in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.