NPIMap

Organization Active NPI

Sioux Center Community Hospital & Health Center

  • Assisted Living Facility
  • Sioux Center, IA
National Provider Identifier
1902928633
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CENT. NO. 50076 Issued in IA
Legal business name
SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER
Practice address
527 South Main Avenue
Sioux Center, IA 51250-1450
Phone
(712) 722-1271
Fax
(712) 722-1003
NPI assigned
Apr 4, 2007
Organization subpart
Yes
Parent organization
SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mrs. Nancy J. Carlson
Title
Cfo
Phone
(712) 722-8153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IA
Assisted Living Facility 310400000X CENT. NO. 50076 IA Primary

Addresses

Primary practice location

527 South Main Avenue
Sioux Center, IA 51250-1450

Mailing address

605 South Main Avenue
Sioux Center, IA 51250-1398
Phone (712) 722-1271

Other identifiers 1

IdentifierTypeStateIssuer
0224030MedicaidIA

Other names 1

  • FRANKEN MANOR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sioux Ctr Comm Hosp HLTH11 organizations share this tax ID, including this one
Part of
Sioux Ctr Comm Hosp HLTH

Other organizations with this tax ID 10

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1902928633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SOUTH MAIN AVENUE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501398",
            "telephone_number": "712-722-1271",
            "fax_number": "712-722-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SOUTH MAIN AVENUE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501450",
            "telephone_number": "712-722-1271",
            "fax_number": "712-722-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-722-8153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "CENT. NO. 50076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224030",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRANKEN MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.