Provider Demographics
NPI:1063495810
Name:SIOUXLAND PARAMEDICS INC
Entity Type:Organization
Organization Name:SIOUXLAND PARAMEDICS INC
Other - Org Name:SIOUXLAND HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:VAN DE STEEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-252-9301
Mailing Address - Street 1:1701 TERMINAL DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51105-2618
Mailing Address - Country:US
Mailing Address - Phone:712-258-7766
Mailing Address - Fax:712-255-1300
Practice Address - Street 1:1701 TERMINAL DRIVE
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51105
Practice Address - Country:US
Practice Address - Phone:712-258-7766
Practice Address - Fax:712-255-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0198960Medicaid
SD9010290Medicaid
IA19896OtherWELLMARK BC/BS
SDS8208Medicare PIN
SD9010290Medicaid
IA0198960Medicaid
IA590000992Medicare PIN
IA19896OtherWELLMARK BC/BS