QUALICENTERS SIOUX CITY, LLC (NPI# 1609981448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609981448 |
| Entity Type | Organization |
| Organization Name | QUALICENTERS SIOUX CITY, LLC |
| Other Organization Name | SIOUXLAND DIALYSIS |
| Practice Address |
2530 Glenn Ave Sioux City IA 51106-2768 |
| Practice Telephone | 7122661000 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-04-19 |
| Authorized Official Name | DR. MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SIOUXLAND DIALYSIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942315783 | Qualicenters Sioux City, LLC | Clinic/Center | 4000 Indian Hills Dr, Sioux City, IA 51108-1418 | 2006-08-20 |
| 1386695575 | Qualicenters Sioux City, LLC | Clinic/Center | 1110 N Quincy Ave, Ottumwa, IA 52501-3883 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | QUALICENTERS SIOUX CITY, LLC | 920 Winter St, Waltham, MA 02451 |
| Colorado Business Entities | QUALICENTERS SIOUX CITY, LLC | 920 Winter Street, Waltham, MA 02451-1457 |
| Street Address |
2530 GLENN AVE |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51106-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
| 1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
| 1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
| Find all providers in zip 51106 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1942315783 | Qualicenters Sioux City, LLC | Clinic/Center | 4000 Indian Hills Dr, Sioux City, IA 51108-1418 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| 1649517673 | Kobuk Dialysis LLC | Clinic/Center | 1005 Pennsylvania Ave Ste 101, Ottumwa, IA 52501-6408 | 2013-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51106 |
Please comment or provide details below to improve the information on QUALICENTERS SIOUX CITY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.