County of Webster

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COUNTY OF WEBSTER

Practice address

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

Phone

(515) 573-4107

Fax

(515) 955-1682

NPI assigned

Oct 7, 2005

Last updated

Nov 6, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• Webster County Health Department Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730177346. Details of each certification follow.

• CCN 167110 Home health agency · Active · Details

Home health agency certification: CCN 167110

Legal name

COUNTY OF WEBSTER

Doing business as

WEBSTER COUNTY HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 29, 1979

Last certification

Feb 6, 2020

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

723 1St Ave S
Ste 220
Fort Dodge, IA 50501-4603

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Webster

  dba Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
  • NPI 1518384122

  8628145422

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Webster

  dba Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
  • NPI 1518384122

  O20140911000324

  Same enrollment

Listed as

Webster County Health DepartmentCCN 167110 · All quality measures

Ownership

Government Operated

Certified

Jun 29, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Webster County Case Management6 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.

• County of Webster

  dba Webster County Health Department

  • Non-Surgical Family Planning Clinic/Center
  • Fort Dodge, IA
  • NPI 1710305636
  NPD tax ID
• Webster County Case Management

  • Case Management Agency
  • Fort Dodge, IA
  • NPI 1083835862
  NPD tax ID
• Webster County Disabilities Alliance

  • Case Management Agency
  • Fort Dodge, IA
  • NPI 1558432401
  NPD tax ID
• Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
  • NPI 1104901685
  NPD tax ID
• Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
  • NPI 1679658157
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• County of Webster

  dba Webster County Health Department

  • Public Health or Welfare Agency
  • Fort Dodge, IA
  • NPI 1518384122

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Jo Pearson, FNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
  • NPI 1497290670
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1730177346",
    "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": "COUNTY OF WEBSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEAD",
            "identifier": "0443069",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFANT & TODDLER",
            "identifier": "0761304",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "67110",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671107",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Webster County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Conner, LMHC
• Joseph J Cookman, D.O.
• Vanessa Marie Cortez, DPM
• County of Webster (Webster County Health Department)
• County of Webster (Webster County Health Department)
• Jacob Crimmins, PHARMD
• Laccey Louise Crimmins, ARNP
• Allyson Croo
• Angela Marie Crosby, LMHC
• Bobbi Christine Cummins, ARNP

• Home Health Agency in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Home Health Agency in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.