Organization
SIOUXLAND COMMUNITY HEALTH CENTER
Active
Other names
Siouxland Community Health Center of Nebraska
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA TALIA PETERSON (CFO)
(712) 252-2477
Entity
Organization
Contact information
Practice address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(712) 252-2477
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 224-1895
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092080
—
IA
01
—
281840
MEDICARE OSCAR/CERTIFICATION
IA
Enumeration date
10/09/2015
Last updated
12/19/2025
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