FAMILY HEALTH CARE OF SIOUXLAND PLC – Family Medicine Physician, NPI 1437170685
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAMILY HEALTH CARE OF SIOUXLAND PLC
3250 Plaza Dr
South Sioux City, NE 687763144
Phone: (402) 412-4220
Fax: (402) 494-1365
Type: Location
345 W Steamboat Dr Ste 300
Dakota Dunes, SD 570495287
Phone: (605) 217-2175
Fax: (605) 217-2185
Type: Location
345 W Steamboat Dr Ste 401
Dakota Dunes, SD 570495287
Phone: (605) 217-2195
Fax: (605) 217-2197
Type: Location
Northside Clinic, 4230, Hamilton Boulevard, Sioux City, Woodbury County, Iowa, 51104, United States
SIOUX CITY, IA 511041137
Phone: (712) 239-4300
Fax: (712) 239-2866
Type: Location
2600 Outer Dr N
Sioux City, IA 511041585
Phone: (712) 239-3300
Fax: (712) 239-8201
Type: Location
4545 Sergeant Rd
Sioux City, IA 511064706
Phone: (712) 274-2400
Fax: (712) 274-1487
Type: Location
4230 Hamilton Blvd
Sioux City, IA 511041137
Phone: (712) 239-4300
Fax: (712) 239-2866
Type: Location
345 W Steamboat Dr Ste 404
Dakota Dunes, SD 570495287
Phone: (605) 217-3900
Fax: (712) 226-2605
Type: Location
1125 Pierce St Ste 100
Sioux City, IA 511051484
Phone: (712) 255-8901
Fax: (712) 255-9161
Type: Location
200 GOLD CIR STE 120
DAKOTA DUNES, SD 570495501
Phone: (605) 217-0700
Fax: (605) 217-0701
Type: Mailing
814 PIERCE ST STE 300
SIOUX CITY, IA 511011058
Phone: (712) 226-2600
Fax: (712) 226-2605
Type: Location
814, Pierce Street, Sioux City, Woodbury County, Iowa, 51101, United States
STE 300
SIOUX CITY, IA 511011058
Phone: (712) 226-2600
Fax: (712) 226-2605
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
3
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040325000519 | O | Clinic/Group Practice | IA | 2023-08-31 |
| O20040604000731 | O | Clinic/Group Practice | SD | TBD |
| O20051026000649 | O | Clinic/Group Practice | NE | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68776)
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