Organization
SIOUXLAND COMMUNITY HEALTH CENTER
Active
Other names
Siouxland Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA TALIA PETERSON (CFO)
(712) 252-2477
Entity
Organization
Contact information
Practice address
1021 NEBRASKA STREET, SIOUX CITY, IA 51104
(712) 255-4204
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 255-4204
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264432
—
IA
05
—
1700967833
—
IA
05
—
5355000
—
SD
Enumeration date
10/17/2006
Last updated
12/19/2025
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