Organization
SIOUXLAND PACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW KENT SWANSTROM (EXECUTIVE DIRECTOR)
(515) 471-9702
Entity
Organization
Contact information
Practice address
1200 TRI VIEW AVE, SIOUX CITY, IA 51103-4900
(712) 224-7223
(712) 224-7250
Mailing address
1200 TRI VIEW AVE, SIOUX CITY, IA 51103-4900
(712) 224-7223
(712) 224-7250
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
H8424
IA
Other
Enumeration date
04/11/2008
Last updated
12/21/2023
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