Provider Demographics
NPI:1568284701
Name:GREATER SIOUX COMMUNITY HEALTH CENTER, INC
Entity type:Organization
Organization Name:GREATER SIOUX COMMUNITY HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUSCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-722-1700
Mailing Address - Street 1:33 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:SIOUX CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:51250-1870
Mailing Address - Country:US
Mailing Address - Phone:712-722-1700
Mailing Address - Fax:712-722-1770
Practice Address - Street 1:397 10TH ST SE
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1217
Practice Address - Country:US
Practice Address - Phone:712-722-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREATER SIOUX COMMUNITY HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)