Desmoines Valley Bhs in Jackson - Clinical Nurse Specialist

Desmoines Valley Bhs - NPI 1407065824

Desmoines Valley Bhs is a Clinical Nurse Specialist in Jackson, Minnesota. Desmoines Valley Bhs practices all healthcare services and medical treatments related to Clinical Nurse Specialist. The NPI Number for Desmoines Valley Bhs is 1407065824. The last update date is 2008-01-02.

Desmoines Valley Bhs's current location address is 803 4th St, Jackson, Minnesota. You can contact this provider via phone number 5078410916 and fax number 5078475664. The mailing address for Desmoines Valley Bhs is 803 4th St, Jackson, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Desmoines Valley Bhs
Address 803 4th St, Jackson, Minnesota
Phone Number 5078410916
Fax Number 5078475664
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Handevidt Anita
Credentials CNS
Telephone Number 5078410916

NPI Number Detail

NPI Number 1407065824
Provider Enumeration Date 2007-05-22
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 803 4th St
City Jackson
State Minnesota (MN)
Post Code 561431056
Phone Number 5078410916
Fax Number 5078475664

Provider's Primary Taxonomy Detail

Speciality Clinical Nurse Specialist
Taxonomy 364S00000X
Licence No R0902409
Definition:
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
374M1DE MN BC/BS OF MINNESOTA
45718 MN SOUIX VALLEY

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FAQs about Desmoines Valley Bhs

What is the unique 10-digit identification code issued to Desmoines Valley Bhs by the Centers for Medicare & Medicaid Services?

The Desmoines Valley Bhs has been assigned the NPI (National Provider Identifier) 1407065824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Desmoines Valley Bhs is geographically located?

The Desmoines Valley Bhs is physically situated at the following location: 803 4Th St, Jackson, MN, 561431056.

What is Desmoines Valley Bhs's area of expertise and its corresponding taxonomy classification?

The Desmoines Valley Bhs's field of specialization is Clinical Nurse Specialist, and it falls under the taxonomy code 364S00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407065824 to Desmoines Valley Bhs?

The Centers for Medicare & Medicaid Services originally issued the 1407065824 to Desmoines Valley Bhs on 2007-05-22.

When was the information regarding Desmoines Valley Bhs most recently updated?

The details pertaining to the Desmoines Valley Bhs, including its address, specialty, and other relevant information, were last refreshed on 2008-01-02.

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