Organization Name: | DES MOINES VALLEY HEALTH AND HUMAN SERVICES |
NPI Number: | 1164651204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT PANKRATZ (DIR OF BUSINESS OPER) |
Mailing Address: | 11 4th St Windom |
State: | MN US |
Postal Code: | 561019998 |
Phone Number: | 5078311891 |
Fax Number: | 5078310126 |
NPI Enumeration Date: | 07/10/2009 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |