SIOUXLAND COMMUNITY HEALTH CENTER
NPI 1912378480
Clinic/Center - Federally Qualified Health Center (FQHC) in South Sioux City, NE

Active since October 09, 2015
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776(712) 252-2477 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2026, Dec 19, 2025, Jun 8, 2017 (3 updates tracked since 2017).

About Siouxland Community Health Center NPPES

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

SIOUXLAND COMMUNITY HEALTH CENTER (NPI 1912378480), doing business as Siouxland Community Health Center Of Nebraska, is a healthcare organization registered as a federally qualified health center (fqhc) in South Sioux City, Nebraska and active in the NPI registry since October 2015. The organization lists Mark Donaldson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912378480
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSIOUXLAND COMMUNITY HEALTH CENTER
Location Address3410 FUTURES DRSouth Sioux City, NE 68776-3917
Mailing Address1021 Nebraska StSioux City, IA 51105-1436 · (712) 252-2477 · Fax (712) 224-1895
Organization SubpartNo
Authorized OfficialMark DonaldsonCeo · (712) 226-9010
Enumeration DateOctober 9, 2015
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1912378480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3410 FUTURES DR, South Sioux City, NE 68776

Other Names 1

Doing Business AsSiouxland Community Health Center Of Nebraska

Other Identifiers 2

Medicaid0092080IA
Other281840IA · Medicare Oscar/certification

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siouxland Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Siouxland Community Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 18 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner15
Family Practice3
Certified Nurse Midwife (CNM)1
Clinical Social Worker1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1093757999
3410 FUTURES DR
South Sioux City, NE 68776
(402) 412-7242
✔ PECOSSame address
Family Practice
NPI 1073600755
3410 FUTURES DR
South Sioux City, NE 68776
(712) 252-2477
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760444558
3410 FUTURES DR
South Sioux City, NE 68776
(402) 412-7242
✔ PECOSSame address
Nurse Practitioner
NPI 1801992532
3410 FUTURES DR
South Sioux City, NE 68776
(712) 252-2477
✔ PECOSSame address
Nurse Practitioner
NPI 1568711786
3410 FUTURES DR
South Sioux City, NE 68776
(402) 412-7242
✔ PECOSSame address
Clinical Social Worker
NPI 1285315333
3410 FUTURES DR
South Sioux City, NE 68776
(402) 412-7242
✔ PECOSSame address
Nurse Practitioner
NPI 1699509992
600 4TH ST STE 501
Sioux City, IA 51101
(712) 234-0220
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1093325656
309 COOK ST
Sioux City, IA 51103
(712) 233-4144
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1346586757
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1154001402
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 226-9345
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1427711563
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1336418425
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1528060696
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1639134034
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS3.3 mi
Certified Nurse Midwife (CNM)
NPI 1225353097
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1699658245
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1427303841
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1215125216
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1700847365
4614 WILLIAM PENN HWY
Murrysville, PA 15668
(712) 252-2477
✔ PECOS✔ Accepts Medicare880 mi
Nurse Practitioner
NPI 1841171113
1021 NEBRASKA ST
Sioux City, IA 51105
(712) 252-2477
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Siouxland Community Health Center carries, from the Medicare DMEPOS supplier directory.

Siouxland Community Health Center

DMEPOS supplier · South Sioux City, NE
✔

Accepts Medicare assignment

Siouxland Community Health Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20671211
Medicare Participant SinceDecember 3, 1993
Supplier Location3410 Futures DrSouth Sioux City, NE 68776
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Seat Lift Mechanisms
Lift chair
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Community Health Center's NPI number?

The NPI number for Siouxland Community Health Center is 1912378480. It was assigned to this organization in the NPPES registry on October 9, 2015. The provider is doing business as Siouxland Community Health Center of Nebraska.

Where is Siouxland Community Health Center located?

Siouxland Community Health Center is located at 3410 Futures Dr, South Sioux City, NE 68776. The listed phone number is (712) 252-2477.

What is Siouxland Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Siouxland Community Health Center enrolled in Medicare?

Yes. Siouxland Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Siouxland Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Siouxland Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (3) and Certified Nurse Midwife (CNM) (1). Of these, 6 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Siouxland Community Health Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Siouxland Community Health Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Siouxland Community Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Siouxland Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Siouxland Community Health Center was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.