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NPI Code Detail

MEDICARE: COUNTY OF DOUGLAS

MEDICARE: COUNTY OF DOUGLAS
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
1251K00000XPublic Health or Welfare AgencyMN
2251B00000XCase Management AgencyMN
3251G00000XCommunity Based Hospice Care Agency326907MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131359OTHERMNHEALTH PARTNERS
203072603200OTHERMNPRIMEWEST
383-02316OTHERMNMEDICA
48276DOOTHERMNBLUE CROSS/BLUE SHIELD
51006413OTHERMNPREFERRED ONE
659-00162OTHERMNMEDICA HOME CARE
776523DOOTHERMNBLUE CROSS/BLUE SHIELD
8122917OTHERMNUCARE MINNESOTA
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689677478
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF DOUGLAS
Provider Business Mailing Address
First Line : 725 ELM ST
Second Line : STE 1200
City : ALEXANDRIA
State : MN
Zip : 56308-1760
Country : US
Telephone Number : 320-763-6018
Fax Number : 320-763-4127
Provider Business Practice Location Address
First Line : 725 ELM ST
Second Line : STE 1200
City : ALEXANDRIA
State : MN
Zip : 56308-1760
Country : US
Telephone Number : 320-763-6018
Fax Number : 320-763-4127
Authorized Official
Title or Position : DIRECTOR
Name : MS. SANDRA L TUBBS
Credential : PHN
Telephone Number : 320-763-6018
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/30/2009

Similar Medicare Providers

1285860395 — DOREEN KAY HANSON RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127
1891921995 — KRISTIN ANN HAYES RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127
1760618813 — RHONDA KAY HJELLE RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127
1376779447 — JESSICA LYNN FETTIG-LOGAN RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127
1649406729 — MELISSA KAY BRIGHT RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127
1689800732 — CONNIE LOU FIELDS RN
Practice Location Address:
725 ELM ST , SUITE 1200
ALEXANDRIA, MN
56308-1760
Practice Phone: 320-763-6018
Practice Fax: 320-763-4127

Directions to “COUNTY OF DOUGLAS ” Practice Location

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