Provider Demographics
NPI:1083336952
Name:BUENA VISTA COUNTY
Entity Type:Organization
Organization Name:BUENA VISTA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:712-749-2548
Mailing Address - Street 1:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:STORM LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50588-0663
Mailing Address - Country:US
Mailing Address - Phone:712-749-2548
Mailing Address - Fax:712-749-2549
Practice Address - Street 1:1709 RICHLAND DR
Practice Address - Street 2:
Practice Address - City:STORM LAKE
Practice Address - State:IA
Practice Address - Zip Code:50588-3503
Practice Address - Country:US
Practice Address - Phone:712-749-2548
Practice Address - Fax:712-749-2549
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUENA VISTA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local