# SIOUXLAND REGIONAL CANCER CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JUNE E NYLEN CANCER CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114904604
- **Authorized official:** MS. KRISTA J MCCULLOUGH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (712) 252-9301

## Contact information

- **Practice address:** 230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
- **Practice address phone:** (712) 252-0088
- **Practice address fax:** (712) 252-9404
- **Mailing address:** PO BOX 5017, SIOUX CITY, IA 51102-5017
- **Mailing address phone:** (712) 252-9301
- **Mailing address fax:** (712) 252-9337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 06/24/2019