Family Access Center, Inc. | |
1221 Pierce St Sioux City IA 51105-1418 | |
(712) 255-0204 | |
(712) 255-1120 |
Full Name | Family Access Center, Inc. |
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Speciality | Community/Behavioral Health |
Location | 1221 Pierce St, Sioux City, Iowa |
Authorized Official Name and Position | Alisha M Rinker (FINANCE MANAGER) |
Authorized Official Contact | 7122550204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Access Center, Inc. 1221 Pierce St Sioux City IA 51105-1418 Ph: (712) 255-0204 | Family Access Center, Inc. 1221 Pierce St Sioux City IA 51105-1418 Ph: (712) 255-0204 |
NPI Number | 1033280326 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 09/12/2024 |
Certification Date | 09/12/2024 |
Medicare PECOS PAC ID | 2567715774 |
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Medicare Enrollment ID | O20181105001409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033280326 | NPI | - | NPPES |
1014019 | Medicaid | IA | |
100264764-00 | Medicaid | NE |
Provider Name | Greg A Kuipers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760836332 PECOS PAC ID: 1850644063 Enrollment ID: I20181105001293 |
Provider Name | Sara N Staver |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598127698 PECOS PAC ID: 7810389095 Enrollment ID: I20220120000880 |
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