Healthcare Provider Details

I. General information

NPI: 1952555146
Provider Name (Legal Business Name): COUNTY OF MEEKER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 PARKER AVE W
DASSEL MN
55325-1024
US

IV. Provider business mailing address

612 S SIBLEY AVE
LITCHFIELD MN
55355-3340
US

V. Phone/Fax

Practice location:
  • Phone: 320-275-4330
  • Fax:
Mailing address:
  • Phone: 320-693-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE SIEGNER
Title or Position: CFO
Credential:
Phone: 320-693-4512