MEDICARE: COUNTY OF OLMSTED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	327771	MN
2	251S00000X	Community/Behavioral Health Agency
3	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558367854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF OLMSTED

Provider Business Mailing Address
First Line	:	2100 CAMPUS DR SE STE 100
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-4722
Country	:	US
Telephone Number	:	507-328-7500
Fax Number	:	507-328-7501

Provider Business Practice Location Address
First Line	:	2100 CAMPUS DR SE STE 100
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-4722
Country	:	US
Telephone Number	:	507-328-7500
Fax Number	:	507-328-7501

Authorized Official
Title or Position	:	DIRECTOR OF PUBLIC HEALTH
Name	:	GRAHAM BRIGGS
Credential	:
Telephone Number	:	507-328-7436

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	06/26/2020

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Directions to “COUNTY OF OLMSTED ” Practice Location

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