Organization
MARIAN HEALTH CENTER-SMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G FITZPATRICK (PRESIDENT/CEO)
(712) 279-2297
Entity
Organization
Contact information
Practice address
801 5TH ST, STE 2211, SIOUX CITY, IA 51101-1394
(712) 279-5880
(712) 279-5888
Mailing address
801 5TH ST, STE 2211, SIOUX CITY, IA 51101-1394
(712) 279-5880
(712) 279-5888
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
604
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140780
—
IA
05
—
8533770
—
SD
Enumeration date
04/12/2006
Last updated
09/15/2015
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