Provider Demographics
NPI:1639100134
Name:BUENA VISTA COUNTY
Entity Type:Organization
Organization Name:BUENA VISTA COUNTY
Other - Org Name:BUENA VISTA COUNTY PUBLIC HEALTH & HOME CARE
Other - Org Type:Other Name
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:BSN
Authorized Official - Phone:712-749-2548
Mailing Address - Street 1:1709 EAST RICHLAND STREET
Mailing Address - Street 2:
Mailing Address - City:STORM LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50588
Mailing Address - Country:US
Mailing Address - Phone:712-749-2548
Mailing Address - Fax:749-258-2549
Practice Address - Street 1:1709 EAST RICHLAND STREET
Practice Address - Street 2:
Practice Address - City:STORM LAKE
Practice Address - State:IA
Practice Address - Zip Code:50588
Practice Address - Country:US
Practice Address - Phone:712-749-2548
Practice Address - Fax:749-258-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670810Medicaid
IA167081Medicare ID - Type Unspecified