Organization
HOSPICE OF SIOUXLAND
Active
Organization
HOSPICE OF SIOUXLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M. KREBER (EXECUTIVE DIRECTOR)
(712) 252-9301
Entity
Organization
Contact information
Practice address
309 COOK ST, SIOUX CITY, IA 51103-3707
(712) 233-4144
Mailing address
309 COOK ST, SIOUX CITY, IA 51103-3707
(712) 233-4144
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154102
—
SD
05
—
0615021
—
IA
05
—
10025149000
—
NE
Enumeration date
02/08/2006
Last updated
01/08/2024
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