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SIOUXLAND PACE
NPI 1669645578
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Sioux City, IA

Active since April 11, 2008CLIA 16D1076649 · Waiver
1200 TRI VIEW AVE, SIOUX CITY, IA 51103(712) 224-7223(712) 224-7250 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siouxland Pace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIOUXLAND PACE (NPI 1669645578) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Sioux City, Iowa and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Matthew Kent Swanstrom, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669645578
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSIOUXLAND PACE
Location Address1200 TRI VIEW AVESioux City, IA 51103-4900
Mailing Address1200 Tri View AveSioux City, IA 51103-4900 · (712) 224-7223 · Fax (712) 224-7250
Phone(712) 224-7223
Fax(712) 224-7250
Organization SubpartNo
Authorized OfficialMatthew Kent SwanstromExecutive Director · (515) 471-9702
Enumeration DateApril 11, 2008
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1669645578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in IA · H8424
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1200 TRI VIEW AVE, Sioux City, IA 51103
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1076649

Siouxland Pace · Sioux City, IA
Active · expires Nov 18, 2027
CLIA Number16D1076649
Laboratory TypeOther
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorJoni Ogden
Laboratory Phone(712) 224-7223
Laboratory LocationSiouxland Pace1200 Tri-View Ave, Sioux City, IA 51103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGGY SUE DEBOER AGNP
Nurse Practitioner (Adult Health)
1200 TRI VIEW AVE
SIOUX CITY, IA 51103
Woodbury County (712) 224-7722
HEIDI BRAUNSCHWEIG ARNP
Nurse Practitioner (Family)
1200 TRI VIEW AVE
SIOUX CITY, IA 51103
Woodbury County (712) 224-7223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siouxland Pace's NPI number?

The NPI number for Siouxland Pace is 1669645578. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Siouxland Pace located?

Siouxland Pace is located at 1200 Tri View Ave, Sioux City, IA 51103. The listed phone number is (712) 224-7223.

What is Siouxland Pace's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Siouxland Pace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1076649) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Siouxland Pace was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.