Healthcare Provider Details
I. General information
NPI: 1376514620
Provider Name (Legal Business Name): COUNTY OF MORRISON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2006
Last Update Date: 08/06/2025
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
213 1ST AVE SE
LITTLE FALLS MN
56345-1468
US
IV. Provider business mailing address
213 1ST AVE SE
LITTLE FALLS MN
56345-1468
US
V. Phone/Fax
- Phone: 320-632-7800
- Fax: 320-632-0372
- Phone: 320-632-6664
- Fax: 320-632-0372
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATHAN
BERTRAM
Title or Position: DIRECTOR
Credential:
Phone: 320-632-0247