Organization · Type 2 NPI

Opco Sioux City, Ia, LLC

Skilled Nursing Facility · Sioux City, IA

NPI number 1902495112 Active

Practice location

6120 Morningside Ave
Sioux City, IA 51106-3943

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1902495112
Entity type: Organization (Type 2)
Issued: Jan 12, 2021
Last updated: Oct 29, 2024
Status: Active

Other names

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Countryside Health Care Center · doing business as
Countryside Health Care Center · doing business as

Authorized official

Isaac Dole
President/ceo
(773) 645-9246

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902495112

Opco Sioux City, Ia, LLC's National Provider Identifier is 1902495112, issued on Jan 12, 2021. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Sioux City, IA. The record was last updated on Oct 29, 2024.