| Family Service's Inc | |
|
2101 Court St Sioux City IA 51104-3243 | |
| (712) 293-4700 | |
| (712) 293-4805 |
| Full Name | Family Service's Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2101 Court St, Sioux City, Iowa |
| Authorized Official Name and Position | Tina Marie Renken (OUT PATIENT BUSINESS MANAGER) |
| Authorized Official Contact | 7122934798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service's Inc 2101 Court St Sioux City IA 51104-3243 Ph: (712) 293-4700 | Family Service's Inc 2101 Court St Sioux City IA 51104-3243 Ph: (712) 293-4700 |
| NPI Number | 1720165897 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 2668561358 |
|---|---|
| Medicare Enrollment ID | O20071203000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720165897 | NPI | - | NPPES |
| Provider Name | Rodney J Dean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528037082 PECOS PAC ID: 3870585813 Enrollment ID: I20050303001054 |
| Provider Name | Jessica S Clausen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720049307 PECOS PAC ID: 0547283566 Enrollment ID: I20060105000250 |
| Provider Name | Rebecca E Walding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215125216 PECOS PAC ID: 3577642644 Enrollment ID: I20080501000238 |
| Provider Name | Stacey Norton-modrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780645275 PECOS PAC ID: 5991007536 Enrollment ID: I20160113001881 |
| Provider Name | Sandra L Jacobsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831112788 PECOS PAC ID: 6507168176 Enrollment ID: I20160113002700 |
| Provider Name | Christina M Spicer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598132110 PECOS PAC ID: 4082917356 Enrollment ID: I20160120000675 |
| Provider Name | Holly A Schenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578904355 PECOS PAC ID: 2567685886 Enrollment ID: I20200520001960 |
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