DES MOINES VALLEY HEALTH AND HUMAN SERVICES (NPI# 1821091026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821091026 |
| Entity Type | Organization |
| Organization Name | DES MOINES VALLEY HEALTH AND HUMAN SERVICES |
| Practice Address |
402 White St Ste 201 Jackson MN 56143-1572 |
| Mailing Address |
Po Box 67 Jackson MN 56143-0067 |
| Practice Telephone | 5078472366 |
| Practice Fax Number | 5078472881 |
| Mailing Telephone | 5078472366 |
| Mailing Fax Number | 5078472881 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MARY BETH BEZDICEK (FISCAL OFFICER/EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 5078472366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 325717 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 510755500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013152776 | Des Moines Valley Health and Human Services | Community/Behavioral Health | 407 5th St, Jackson, MN 56143-9588 | 2008-12-10 |
| 1164651204 | Des Moines Valley Health and Human Services | Public Health or Welfare | 11 4th St, Windom, MN 56101-9998 | 2009-07-10 |
| Street Address |
402 WHITE ST STE 201 |
| City | JACKSON |
| State | MN |
| Zip Code | 56143-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576965 | Jackson County Central Schools | Local Education Agency (LEA) | Jackson County Central Schools, 1128 North Highway, Jackson, MN 56143 | 2006-12-22 |
| 1609952027 | Susan Marie Back | Psychologist | 116 County Road 34 W, Jackson, MN 56143 | 2006-10-27 |
| 1992805204 | Kevin John Dunlavey | Dentist | 607 2nd St, Jackson, MN 56143 | 2006-09-25 |
| 1285978221 | Paul Anthony Roggow | Dentist | 604 Second Street, Jackson, MN 56143 | 2012-11-15 |
| 1083896716 | Shopko Stores Operating Co LLC | Pharmacy | 506 2nd St, Jackson, MN 56143 | 2007-12-05 |
| 1053456889 | Jackson Drug Co | Durable Medical Equipment & Medical Supplies | 506 2nd St, Jackson, MN 56143-0233 | 2007-02-20 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1750378758 | Sister Marie Paul Lockerd | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2005-10-04 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| 1942426689 | Margaret Jean Hart | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2007-04-18 |
| Find all providers in zip 56143 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1992047278 | Burning Bush Youth & Family Intervention Center, Inc. | Public Health or Welfare | 144 Brookwood Ave, Jackson, GA 30233-1403 | 2013-03-25 |
| 1114222379 | State of Tennessee | Public Health or Welfare | 295 Summar Drive, Jackson, TN 38301 | 2011-01-20 |
| 1881890424 | Northampton County Dss | Public Health or Welfare | 9467 Nc 305 Hwy., Jackson, NC 27845 | 2007-06-21 |
| 1770637969 | Breathitt County Health Department | Public Health or Welfare | 955 Hwy. 30 West, Jackson, KY 41339-1000 | 2007-01-23 |
| 1265582415 | West Tennessee Regional Health Office Children Special Services | Public Health or Welfare | 295 Summar Ave, Jackson, TN 38301 | 2007-01-11 |
| 1376606582 | Mississipp State Department of Health | Public Health or Welfare | 3156 Lawson Street, Jackson, MS 39213 | 2006-12-18 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.