NPIMap

Organization Active NPI

Greater Sioux Community Health Center Inc.

Doing business as Promise CHC Sioux Center Christian School

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
National Provider Identifier
1942031158
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER SIOUX COMMUNITY HEALTH CENTER INC.
Doing business as
Promise CHC Sioux Center Christian School
Practice address
630 1St Ave SE RM 140
Sioux Center, IA 51250-1312
Phone
(712) 722-0777
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER SIOUX COMMUNITY HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Emily Tuschen
Title
Ceo
Phone
(712) 722-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

630 1St Ave SE RM 140
Sioux Center, IA 51250-1312

Mailing address

33 4TH St NW
Sioux Center, IA 51250-1870
Phone (712) 722-1700

Other names 1

  • Promise CHC Sioux Center Christian School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080717000707 IA Part B Supplier - Clinic/Group Practice 3173696572 Receives reassigned benefits from 15 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux Center, IA; Rock Valley, IA; Ireton, IA; Hawarden, IA
O20240924002382 IA Part A Provider - Federally Qualified Health Center (FQHC) 3173696572 Practice locations: Sioux Center, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942031158. Details of each certification follow.

Federally qualified health center certification: CCN 161024

Legal name
GREATER SIOUX COMMUNITY HEALTH CENTER INC
Doing business as
PROMISE CHC SIOUX CENTER CHRISTIAN SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2024
Last certification
Sep 23, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
630 1St Ave SE
RM 140
Sioux Center, IA 51250-1312

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Greater Sioux Center Inc8 organizations share this tax ID, including this one
Part of
Greater Sioux Center Inc

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kendra Rensink Individual Corporate Director Sep 27, 2019
Greta Grond Individual Corporate Director Oct 26, 2018
Janice Luevano Individual Corporate Director Jan 26, 2024
Michele Hofman Individual Corporate Director Dec 15, 2023
Amy McAlpine Individual Corporate OfficerCoo Aug 15, 2022
Corporate DirectorCoo Aug 15, 2022
W-2 Managing EmployeeCoo Aug 15, 2022
Nancy Anguiano Individual Corporate Director Jan 24, 2020
Rick Getman Individual Corporate Director Dec 15, 2023
Jean Ellis Individual Corporate Director Oct 29, 2021
Emily Tuschen Individual Corporate OfficerCeo Dec 1, 2018
Corporate DirectorCeo Dec 1, 2018
W-2 Managing EmployeeCeo Dec 1, 2018
Kara Acevedo Individual Corporate OfficerCfo Dec 24, 2023
Corporate DirectorCfo Dec 24, 2023
W-2 Managing EmployeeCfo Dec 24, 2023
Daisy Gasca Individual Corporate Director Oct 21, 2022
Verlyn Boone Individual Corporate Director Oct 26, 2018

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1942031158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 4TH ST NW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501870",
            "telephone_number": "712-722-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 1ST AVE SE RM 140",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501312",
            "telephone_number": "712-722-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SIOUX COMMUNITY HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER SIOUX COMMUNITY HEALTH CENTER INC.",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "TUSCHEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-722-1700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise CHC Sioux Center Christian School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.