Organization
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Cherokee Regional Medical Center - CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M BIERMAN (CFO)
(712) 225-1505
Entity
Organization
Contact information
Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-1505
(712) 225-6870
Mailing address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
(712) 225-6870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460337
—
IA
01
—
38720
BLUE CROSS/SHIELD GROUP #
IA
Enumeration date
03/03/2006
Last updated
12/20/2019
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