Organization Active NPI

Des Moines Valley Health and Human Services

  • Public Health or Welfare Agency
  • Jackson, MN
National Provider Identifier
1821091026
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
325717 Issued in MN
Legal business name
DES MOINES VALLEY HEALTH AND HUMAN SERVICES
Practice address
405 4TH St, BLDG 4
Jackson, MN 56143
Phone
(507) 847-4000
Fax
(507) 847-5616
NPI assigned
May 23, 2005
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Natane Sadusky
Title
Fiscal Manager
Phone
(507) 847-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 325717 MN Primary

Addresses

Primary practice location

405 4TH St, BLDG 4
Jackson, MN 56143

Mailing address

PO Box 67
Jackson, MN 56143-0067
Phone (507) 847-4000

Other identifiers 1

IdentifierTypeStateIssuer
510755500MedicaidMN

National Provider Directory

National Provider Directory

Locations

402 White St
Ste 201
Jackson, MN 56143
Phone (507) 847-2366

405 4th St
Ste 4
Jackson, MN 56143
Phone (507) 847-4000

235 9th St
Windom, MN 56101
Phone (507) 831-1987

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1821091026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561430067",
            "telephone_number": "507-847-4000",
            "fax_number": "507-847-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 4TH ST, BLDG 4",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "56143",
            "telephone_number": "507-847-4000",
            "fax_number": "507-847-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES VALLEY HEALTH AND HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "SADUSKY",
        "authorized_official_first_name": "NATANE",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "507-847-6899"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "325717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510755500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.