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SUTHERLAND MEDICAL CLINIC
NPI 1962221903
Family Medicine in Sutherland, IA

Active since October 07, 2024CLIA 16D0385171 · Waiver
131 W 2ND ST, SUTHERLAND, IA 51058(712) 446-2567(712) 446-2631 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sutherland Medical Clinic NPPES

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

SUTHERLAND MEDICAL CLINIC (NPI 1962221903) is a healthcare organization registered as a family medicine in Sutherland, Iowa and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Gary Jordan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1962221903
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Location Address131 W 2ND STSutherland, IA 51058-7615
Mailing Address300 Sioux Valley DrCherokee, IA 51012-1205 · (712) 225-3368 · Fax (712) 225-6866
Phone(712) 446-2567
Fax(712) 446-2631
Organization SubpartYes
Authorized OfficialGary JordanPresident & Ceo · (712) 225-5101
Enumeration DateOctober 7, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1962221903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
131 W 2ND ST, Sutherland, IA 51058
Open in Google Maps ↗

Other Names 1

Doing Business AsSutherland Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

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 16D0385171

Sutherland Medicial Clinic · Sutherland, IA
Active · expires Oct 4, 2026
CLIA Number16D0385171
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorSean Nelson
Laboratory Phone(712) 446-2567
Laboratory LocationSutherland Medicial Clinic131 West 2nd Street, Sutherland, IA 51058
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BROOKE FIDDELKE ARNP
Nurse Practitioner
131 W 2ND ST
SUTHERLAND, IA 51058
O'Brien County (712) 446-2567

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 Sioux Valley Memorial Hospital Association's NPI number?

The NPI number for Sioux Valley Memorial Hospital Association is 1962221903. It was assigned to this organization in the NPPES registry on October 7, 2024. The provider is doing business as Sutherland Medical Clinic.

Where is Sioux Valley Memorial Hospital Association located?

Sioux Valley Memorial Hospital Association is located at 131 W 2nd St, Sutherland, IA 51058. The listed phone number is (712) 446-2567.

What is Sioux Valley Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sioux Valley Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0385171) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sioux Valley Memorial Hospital Association accept?

Health plans from Avera Health Plans and Medica list Sioux Valley Memorial Hospital Association 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 Sioux Valley Memorial Hospital Association was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.