DESMOINES VALLEY BHS
NPI 1407065824
Clinical Nurse Specialist in Jackson, MN

Active since May 22, 2007
803 4TH ST, JACKSON, MN 56143(507) 841-0916(507) 847-5664 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desmoines Valley Bhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESMOINES VALLEY BHS (NPI 1407065824) is a healthcare organization registered as a clinical nurse specialist in Jackson, Minnesota and active in the NPI registry since May 2007. The organization lists Anita Handevidt, Owner, as its authorized official.

NPPES Registry Identity

NPI1407065824
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameDESMOINES VALLEY BHS
Location Address803 4TH STJackson, MN 56143-1056
Mailing AddressPo Box 155Jackson, MN 56143-0155
Fax(507) 847-5664
Organization SubpartNo
Authorized OfficialAnita HandevidtOwner · (507) 841-0916
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 2, 2008
NPI 1407065824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License Licensed in MN · 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 the components of direct patient/client care, consultation, education, research and administration.

803 4TH ST, Jackson, MN 56143

Other Identifiers 3

Other45718MN · Souix Valley
Other374M1DEMN · Bc/bs Of Minnesota
Medicare PINC03858MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Registered Nurse (Psychiatric/Mental Health, Adult)
803 4TH ST
JACKSON, MN 56143
Family Medicine
803 4TH ST
JACKSON, MN 56143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407065824, enumerated as an "organization" on May 22, 2007.

The provider is located at 803 4TH ST JACKSON, MN 56143 and the phone number is (507) 841-0916.

Clinical Nurse Specialist with taxonomy code 364S00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.