Sioux Center Community Hospital and Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31210 Issued in IA

Legal business name

SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTER

Practice address

255 16TH St SW
Sioux Center, IA 51250-2959

Phone

(712) 722-5194

Fax

(712) 722-5196

NPI assigned

May 16, 2011

Organization subpart

Yes

Parent organization

SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Mary McClung

Title

Director, Clinic Operations

Phone

(712) 722-2609

Specialties & licenses 1

Addresses

Other names 1

• The Clinic at Walmart operated by Sioux Center Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sioux Center Health

  • Family Medicine Physician
  • Hawarden, IA
  • NPI 1225507510

  O20040224001315

  Same enrollment
• Sioux Center Health

  • Family Medicine Physician
  • Hull, IA
  • NPI 1396878708

  O20040224001315

  Same enrollment
• Sioux Center Health

  • Surgery Physician
  • Sioux Center, IA
  • NPI 1407107923

  O20040224001315

  Same enrollment
• Sioux Center Health

  • Family Medicine Physician
  • Sioux Center, IA
  • NPI 1558494138

  O20040224001315

  Same enrollment
• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1669542981

  O20040224001315

  Same enrollment

Part of

Sioux Ctr Comm Hosp HLTH

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sioux Center Community Hospital & Health Center

  • Durable Medical Equipment & Medical Supplies
  • Sioux Center, IA
  • NPI 1184823510
  NPPES parent name

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1861785446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501347",
            "telephone_number": "712-722-2609",
            "fax_number": "712-722-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 16TH ST SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502959",
            "telephone_number": "712-722-5194",
            "fax_number": "712-722-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTER",
        "enumeration_date": "2011-05-16",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR, CLINIC OPERATIONS",
        "authorized_official_telephone_number": "712-722-2609"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Clinic at Walmart operated by Sioux Center Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassie Wynne Scorza, MSW
• Lyndle Duane Shelby, M.D.
• Sioux Center Chiropractic Wellness and Clinic PC
• Sioux Center Community Hospital & Health Center
• Sioux Center Community Hospital & Health Center
• Sioux Center Community Schools
• Sioux Center Health
• Sioux Center Health
• Sioux Center Health
• Sioux Center Health

• Family Medicine Physician in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.