Organization
MARIAN HEALTH CENTER -SMHC
Active
Other names
MercyOne Siouxland Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH A BALLANTYNE (MANAGER, PROVIDER ENROLLMENT)
(641) 428-3086
Entity
Organization
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-5681
Mailing address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-5681
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
970112H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005068000
—
IA
05
—
0235060
—
SD
01
—
6S153
WELLMARK BLX
IA
Enumeration date
07/12/2006
Last updated
05/27/2021
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