POTTAWATTAMIE COUNTY NPI 1053881102

NPI Information

  • NPI: 1053881102
  • Provider Name: POTTAWATTAMIE COUNTY
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • CLIA Number: 16D0983169
  • Address: 515 5TH AVE
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Phone: (712) 242-1131

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NPI Details

POTTAWATTAMIE COUNTY is a public health or welfare in Council Bluffs, IA. POTTAWATTAMIE COUNTY NPI is 1053881102. The provider is registered as an organization entity type.

The provider's business location address is:

515 5TH AVE
COUNCIL BLUFFS, IA
ZIP 51503-903
Phone: (712) 242-1131
Fax: (712) 242-1162

The provider's authorized official is Maria Sieck .
The authorized official title is Public Health Administrator and has the following contact phone number (712) 242-1155.

The CLIA number assigned to this NPI record is 16D0983169 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2018 and was last updated on 3/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10082503MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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