Active NPI
County of Winneshiek
Doing business as Winneshiek County Public Health
- Public Health or Welfare Agency
- Decorah, IA
National Provider Identifier
1265791453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140703001097 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840101606 | Practice locations: Decorah, IA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Winneshiek County Public Health Nursing Service
- Home Health Agency
- Decorah, IA
- NPI 1093791758
Member Of
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
- Christopher R Cooper, D.O.
- Anthony M Coppola, DO
- Maria Belen Cordova
- Counseling Associates of NE Iowa
- County of Winneshiek (Winneshiek County Public Health Nursing Service)
- Kara Renee Crain, M.S.
- Carrie Dahlquist
- David Heine, MD (The Family Care Clinic)
- Steven James Davis, MD
- Decorah Chiropractic P.C.
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.