Healthcare Provider Details

I. General information

NPI: 1164651204
Provider Name (Legal Business Name): DES MOINES VALLEY HEALTH AND HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 4TH ST
WINDOM MN
56101-9998
US

IV. Provider business mailing address

PO BOX 9
WINDOM MN
56101-0009
US

V. Phone/Fax

Practice location:
  • Phone: 507-831-1891
  • Fax: 507-831-0126
Mailing address:
  • Phone: 507-831-1891
  • Fax: 507-847-5616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: NATANE SADUSKY
Title or Position: FISCAL MANAGER
Credential:
Phone: 507-847-6899