NPI 1669645578

Siouxland Pace

Organisation PACE Provider Organization Sioux City, IA

Practice location

Address: 1200 Tri View Ave, Sioux City, IA 51103-4900
Phone: (712) 224-7223
Fax: (712) 224-7250

Authorised official

Name: Matthew Kent Swanstrom
Title: Executive Director
Phone: (515) 471-9702

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence H8424 (IA)

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Registry record

NPI: 1669645578
Entity type: Organization
NPI issued: 11 Apr 2008
Record last updated: 21 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.