Organization Active NPI

Alzheimer's Association Big Sioux Chapter

  • Adult Day Care Clinic/Center
  • Sioux City, IA
National Provider Identifier
1962673624
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADS033 Issued in IA
Legal business name
ALZHEIMER'S ASSOCIATION BIG SIOUX CHAPTER
Practice address
420 Chambers St
Sioux City, IA 51101-2126
Phone
(712) 279-5802
Fax
(712) 277-8076
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Eric Newhouse
Title
Interim Executive Director
Phone
(712) 279-5802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADS033 IA Primary

Addresses

Primary practice location

420 Chambers St
Sioux City, IA 51101-2126

Mailing address

420 Chambers St
PO Box 3716
Sioux City, IA 51101-2126
Phone (712) 279-5802

Other identifiers 1

IdentifierTypeStateIssuer
0123943MedicaidIA

National Provider Directory

National Provider Directory

Locations

420 Chambers St
Sioux City, IA 51101
Phone (712) 279-5802

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1962673624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHAMBERS ST",
            "address_2": "PO BOX 3716",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511012126",
            "telephone_number": "712-279-5802",
            "fax_number": "712-277-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHAMBERS ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511012126",
            "telephone_number": "712-279-5802",
            "fax_number": "712-277-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S ASSOCIATION BIG SIOUX CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-279-5802"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IA",
            "license": "ADS033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123943",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 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.