Organization
MID-SIOUX OPPORTUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK SIEVERS (EXECUTIVE DIRECTOR)
(712) 786-2001
Entity
Organization
Contact information
Practice address
418 S MARION ST, REMSEN, IA 51050-1102
(712) 786-2001
Mailing address
418 S MARION ST, REMSEN, IA 51050-1102
(712) 786-2001
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036095
—
IA
Enumeration date
10/20/2006
Last updated
09/11/2025
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