South Sioux Mercy Medical Clinic | |
501 1st Ave South Sioux City NE 68776-1703 | |
(402) 494-3064 | |
(402) 494-2656 |
Full Name | South Sioux Mercy Medical Clinic |
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Speciality | Family Medicine |
Location | 501 1st Ave, South Sioux City, Nebraska |
Authorized Official Name and Position | Jesica Hanson (VP FINANCE) |
Authorized Official Contact | 7122795850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Sioux Mercy Medical Clinic Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | South Sioux Mercy Medical Clinic 501 1st Ave South Sioux City NE 68776-1703 Ph: (402) 494-3064 |
NPI Number | 1043251754 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 5799694063 |
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Medicare Enrollment ID | O20041007000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043251754 | NPI | - | NPPES |
PENDING | Other | NE | WELLMARK BCBS IA GROUP NU |
Provider Name | Suhair Afana Najdawi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316985534 PECOS PAC ID: 7113984428 Enrollment ID: I20041217000274 |
Provider Name | David J Ensz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124245899 PECOS PAC ID: 8022114263 Enrollment ID: I20070503000511 |
Provider Name | Mir Subla |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1871577379 PECOS PAC ID: 7618881251 Enrollment ID: I20220912002676 |
Provider Name | Ifan Chen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346235199 PECOS PAC ID: 4981889250 Enrollment ID: I20230112000925 |
Siouxland Community Health Center Of Nebraska Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3410 Futures Dr, South Sioux City, NE 68776 Phone: 712-252-2477 |