Organization
MARIAN HEALTH CENTER -SMHC
Active
Other names
Mercy Medical Center-Sioux City
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOLENE S HANSEN (BILLING MANAGER)
(712) 279-2263
Entity
Organization
Contact information
Practice address
801 5TH ST, SIXTH CENTRAL SNF, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-5631
Mailing address
801 5TH ST, SIXTH CENTRAL SNF, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-5631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970112H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66153
WELLMARK BLUE CROSS
IA
Enumeration date
07/10/2006
Last updated
12/11/2007
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