QUALICENTERS SIOUX CITY, LLC (NPI# 1942315783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942315783 |
| Entity Type | Organization |
| Organization Name | QUALICENTERS SIOUX CITY, LLC |
| Other Organization Name | FMC DIALYSIS SERVICE MIDWEST DIALYSIS |
| Practice Address |
4000 Indian Hills Dr Sioux City IA 51108-1418 |
| Practice Telephone | 7122394333 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MARK FAWCETT (SVP AND 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 |
|---|---|
| FMC Dialysis Service Midwest Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609981448 | Qualicenters Sioux City, LLC | Clinic/Center | 2530 Glenn Ave, Sioux City, IA 51106-2768 | 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 |
4000 INDIAN HILLS DR |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51108-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657976 | Paul Jensen | Pharmacist | 3301 Floyd Blvd, Sioux City, IA 51108 | 2020-04-13 |
| 1780233114 | Sharon Arlene Asmussen | Technician | 4026 Madison St., Sioux City, IA 51108 | 2019-09-09 |
| 1831416072 | Zediker Chiropractic P.C. | Chiropractor | 4018 Floyd Blvd, Sioux City, IA 51108 | 2010-04-28 |
| 1336207976 | Mary J Vontersch Hanno | Social Worker | 3133 Floyd Blvd, Sioux City, IA 51108 | 2006-12-05 |
| 1477874527 | Kristen M. Henry | Behavioral Analyst | 4501 Central St, Sioux City, IA 51108-1320 | 2010-06-11 |
| 1225531288 | Kj Angel Services, LLC | Meals | 3133 Floyd Blvd Ste B, Sioux City, IA 51108-1419 | 2018-03-15 |
| 1699745661 | Patrick A Walding | Chiropractor | 3133 Floyd Blvd, Sioux City, IA 51108-1419 | 2006-01-24 |
| 1811234552 | Hanno Therapy Services Inc | Counselor | 3133 Floyd Blvd, Sioux City, IA 51108-1419 | 2013-01-15 |
| 1174874259 | Patrick A. Walding Dc PC | Chiropractor | 3133 Floyd Blvd, Sioux City, IA 51108-1419 | 2012-09-28 |
| 1699382788 | Angelica Alfredson | Nurse's Aide | 4002 Madison St, Sioux City, IA 51108-1445 | 2020-09-23 |
| Find all providers in zip 51108 | ||||
| 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 |
| 1609981448 | Qualicenters Sioux City, LLC | Clinic/Center | 2530 Glenn Ave, Sioux City, IA 51106-2768 | 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 | 51108 |
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| 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.