Organization Active NPI

Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
National Provider Identifier
1104901685
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WEBSTER COUNTY HEALTH DEPARTMENT
Practice address
723 1St Ave S
Fort Dodge, IA 50501-4633
Phone
(515) 573-4107
Fax
(515) 955-1682
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Breanna Case
Title
Operations Specialist
Phone
(515) 573-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IA Primary

Addresses

Primary practice location

723 1St Ave S
Fort Dodge, IA 50501-4633

Mailing address

723 1St Ave S
Fort Dodge, IA 50501-4633
Phone (515) 573-4107

Other identifiers 1

IdentifierTypeStateIssuer
0115667MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
County of Webster6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1104901685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014633",
            "telephone_number": "515-573-4107",
            "fax_number": "515-955-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014633",
            "telephone_number": "515-573-4107",
            "fax_number": "515-955-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "515-573-4107"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115667",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.