DES MOINES VALLEY HEALTH AND HUMAN SERVICES — NPI 1821091026 (Licensed & Credentialed Agencies

CMS-1500 Box 24J / 33a • NPI

1821091026

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251K00000X (CMS 60)

Licensed & Credentialed Agencies — Public Health or Welfare

Box 32 Service Location & ZIP+4

405 4TH ST, BLDG 4, JACKSON, MN, 56143

Official NPPES Practice Location

Practice Phone & Referral Fax

(507) 847-4000

Fax: (507) 847-5616

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821091026 (DES MOINES VALLEY HEALTH AND HUMAN SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821091026` (NPI-2 Organization / Facility)
Provider / Legal Name	DES MOINES VALLEY HEALTH AND HUMAN SERVICES
Plain-English Specialty	Licensed & Credentialed Agencies — Public Health or Welfare NUCC Code: `251K00000X` (Public Health or Welfare)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	405 4TH ST, BLDG 4, JACKSON, MN, 56143
Practice Telephone / Fax	Tel: (507) 847-4000 \| Fax: (507) 847-5616
Administrative Mailing Address	PO BOX 67, JACKSON, MN, 56143-0067
Enumeration & Last Sync	Enumerated: 2005-05-23 \| CMS Record Updated: 2026-04-24
Authorized Official	NATANE SADUSKY (Fiscal Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

405 4TH ST, BLDG 4, JACKSON, MN, 56143

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Plain-English Taxonomy & CMS Crosswalk (251K00000X)

What Does Taxonomy Code 251K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251K00000X translates to:
"Licensed & Credentialed Agencies — Public Health or Welfare"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 60 (Public Health or Welfare Agency)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Public Health or Welfare for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DES MOINES VALLEY HEALTH AND HUMAN SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251K00000X` — Public Health or Welfare Plain English: Licensed & Credentialed Agencies — Public Health or Welfare	State: MN \| License: `325717` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DES MOINES VALLEY HEALTH AND HUMAN SERVICES (NPI #1821091026)