Siouxland Regional Cancer Center
Internal Medicine, Hematology & Oncology in Sioux City, IA. Organization (NPI-2).
NPI number1114904604
StatusActive
Last updated in NPPESJun 24, 2019
Details
- NPI
- 1114904604
- Entity type
- Organization (NPI-2)
- Legal business name
- Siouxland Regional Cancer Center
- Organization subpart
- No
- Enumeration date
- Dec 27, 2005
- Last updated
- Jun 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
| 2085R0001X | – | – | ||
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- June E Nylen Cancer Center (Doing Business As)
Practice location
230 Nebraska StSioux City, IA 51101-1733
Phone 712-252-0088 · Fax 712-252-9404
Mailing address
Po Box 5017Sioux City, IA 51102-5017
Phone 712-252-9301 · Fax 712-252-9337
Authorized official
Krista J McCullough
Executive Director
7122529301
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