Organization Active NPI

County of Winneshiek

Doing business as Winneshiek County Public Health

  • Public Health or Welfare Agency
  • Decorah, IA
National Provider Identifier
1265791453
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF WINNESHIEK
Doing business as
Winneshiek County Public Health
Practice address
305 Montgomery St
Suite 3
Decorah, IA 52101-2721
Phone
(563) 382-4662
Fax
(563) 387-4121
NPI assigned
May 9, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ms. Krista Vanden Brink, R.N., B.A.
Title
Agency Administrator
Phone
(563) 382-4662

Specialties & licenses 1

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

Addresses

Primary practice location

305 Montgomery St
Suite 3
Decorah, IA 52101-2721

Mailing address

305 Montgomery St
Suite 3
Decorah, IA 52101-2721
Phone (563) 382-4662

Other names 1

  • Winneshiek County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703001097 IA Part B Supplier - Mass Immunization (Roster Biller Only) 0840101606 Practice locations: Decorah, IA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

305 Montgomery St
Ste 3
Decorah, IA 52101
Phone (563) 382-4662

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1265791453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MONTGOMERY ST",
            "address_2": "SUITE 3",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012721",
            "telephone_number": "563-382-4662",
            "fax_number": "563-387-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MONTGOMERY ST",
            "address_2": "SUITE 3",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012721",
            "telephone_number": "563-382-4662",
            "fax_number": "563-387-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WINNESHIEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "VANDEN BRINK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "563-382-4662",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., B.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winneshiek County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.