Healthcare Provider Details

I. General information

NPI: 1316942774
Provider Name (Legal Business Name): LE SUEUR COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S PARK AVE
LE CENTER MN
56057-1622
US

IV. Provider business mailing address

88 S PARK AVE
LE CENTER MN
56057-1600
US

V. Phone/Fax

Practice location:
  • Phone: 507-357-8246
  • Fax: 507-357-4223
Mailing address:
  • Phone: 507-357-8246
  • Fax: 507-357-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number328150
License Number StateMN

VIII. Authorized Official

Name: MEGAN KIRBY
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential: MPH
Phone: 507-357-8247