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  7. NPI Record 1710106463

CURAQUICK CLINICS OR CURAQUICK AVERA CLINICS
Complete NPI Record 1710106463
Nurse Practitioner - Family in Sioux City, IA

NPI Status: Active since April 24, 2007

Contact Information

2827 HAMILTON BLVD
SIOUX CITY, IA
ZIP 51104
Phone: (712) 258-4350
Fax: (712) 258-4085

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Business Practice Location Address Fax Number
  20. Provider Enumeration Date
  21. Last Update Date
  22. Authorized Official Last Name
  23. Authorized Official First Name
  24. Authorized Official Middle Name
  25. Authorized Official Title or Position
  26. Authorized Official Telephone Number
  27. Healthcare Provider Taxonomy Code 1
  28. Provider License Number State Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Healthcare Provider Taxonomy Code 2
  31. Provider License Number State Code 2
  32. Healthcare Provider Primary Taxonomy Switch 2
  33. Healthcare Provider Taxonomy Code 3
  34. Provider License Number State Code 3
  35. Healthcare Provider Primary Taxonomy Switch 3
  36. Healthcare Provider Taxonomy Code 4
  37. Provider License Number State Code 4
  38. Healthcare Provider Primary Taxonomy Switch 4
  39. Healthcare Provider Taxonomy Code 5
  40. Provider License Number State Code 5
  41. Healthcare Provider Primary Taxonomy Switch 5
  42. Healthcare Provider Taxonomy Code 6
  43. Provider License Number State Code 6
  44. Healthcare Provider Primary Taxonomy Switch 6
  45. Healthcare Provider Taxonomy Code 7
  46. Provider License Number State Code 7
  47. Healthcare Provider Primary Taxonomy Switch 7
  48. Healthcare Provider Taxonomy Code 8
  49. Provider License Number State Code 8
  50. Healthcare Provider Primary Taxonomy Switch 8
  51. Healthcare Provider Taxonomy Code 9
  52. Provider License Number State Code 9
  53. Healthcare Provider Primary Taxonomy Switch 9
  54. Healthcare Provider Taxonomy Code 10
  55. Provider License Number State Code 10
  56. Healthcare Provider Primary Taxonomy Switch 10
  57. Is Organization Subpart
  58. Healthcare Provider Taxonomy Group 1
  59. Healthcare Provider Taxonomy Group 2
  60. Healthcare Provider Taxonomy Group 3
  61. Healthcare Provider Taxonomy Group 4
  62. Healthcare Provider Taxonomy Group 5
  63. Healthcare Provider Taxonomy Group 6
  64. Healthcare Provider Taxonomy Group 7
  65. Healthcare Provider Taxonomy Group 8
  66. Healthcare Provider Taxonomy Group 9
  67. Healthcare Provider Taxonomy Group 10

Complete NPI Dataset

This page represents the complete record for NPI 1710106463. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1710106463
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: CURAQUICK CLINICS OR CURAQUICK AVERA CLINICS
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: P.O. BOX 2495
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: SIOUX CITY
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: IA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 51106
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 7122531807
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 2827 HAMILTON BLVD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SIOUX CITY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: IA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 51104
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7122584350
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7122584085
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/24/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/22/2010
The date that a record was last updated or changed.
Authorized Official Last Name: DANIELS
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: JOHN
The first name of the authorized official.
Authorized Official Middle Name: D
The middle name of the authorized official.
Authorized Official Title or Position: CEO
The title or position of the authorized official.
Authorized Official Telephone Number: 7122531807
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 363LF0000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1: SD
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 363LF0000X
Provider License Number State Code 2: MN
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 363A00000X
Provider License Number State Code 3: MN
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 363A00000X
Provider License Number State Code 4: IA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 363A00000X
Provider License Number State Code 5: NE
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 363A00000X
Provider License Number State Code 6: SD
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 363L00000X
Provider License Number State Code 7: IA
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 363L00000X
Provider License Number State Code 8: NE
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 363L00000X
Provider License Number State Code 9: SD
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 363LF0000X
Provider License Number State Code 10: IA
Healthcare Provider Primary Taxonomy Switch 10: Y
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP