Buena Vista County
Organization Active NPI Public Health or Welfare Agency · Storm Lake, IA
NPI 1083336952 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1083336952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- BUENA VISTA COUNTY
- Practice address
- 1709 Richland Dr
Storm Lake, IA 50588-3503 - Phone
- (712) 749-2548
- Fax
- (712) 749-2549
- NPI assigned
- Sep 16, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- BUENA VISTA COUNTY
Authorized official
- Name
- Julie Sather, RN-BSN
- Title
- Administrator
- Phone
- (712) 749-2548
Parent organization (reported in NPPES) 1
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Buena Vista County Public Health & Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 30, 1976 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231107002644 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3678653862 | Practice locations: Storm Lake, IA |
National Provider Directory
- Tax ID family
- Buena Vista County Community Services
- Part of
- Buena Vista County Community Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes | ||
| State or Local Public Health Clinic/Center | 261QP0905X |
Addresses
Primary practice location
1709 Richland Dr
Storm Lake, IA 50588-3503
Mailing address
PO Box 663
Storm Lake, IA 50588-0663
Phone (712) 749-2548
Other names
- Buena Vista County Public Health & Home Care
Other providers in Storm Lake, IA
- Shawnna L Bosse
- Lindsay Ann Brechwald
- Kendra Buchely
- Buena Vista Anesthesia Associates PLC
- Buena Vista Anesthesia Associates PLC
- Buena Vista County
- Buena Vista County Community Services
- Buena Vista Manor Care Center
- Buena Vista Manor, Inc.
- Buena Vista Manor, Inc.
All providers in Storm Lake, IA · Public Health or Welfare Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.