| Oakshire | |
|
1941 35th St Sioux City IA 51104-1558 | |
| (712) 277-8295 | |
| (712) 277-8602 |
| Full Name | Oakshire |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1941 35th St, Sioux City, Iowa |
| Authorized Official Name and Position | Trey Weaver (FINANCE MANAGER) |
| Authorized Official Contact | 7122778295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakshire 3439 Glen Oaks Blvd Sioux City IA 51104-1761 Ph: (712) 277-8295 | Oakshire 1941 35th St Sioux City IA 51104-1558 Ph: (712) 277-8295 |
| NPI Number | 1972644557 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972644557 | NPI | - | NPPES |
| 0890051 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 0881219 (Iowa) | Secondary |
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