Healthcare Provider Details

I. General information

NPI: 1558367854
Provider Name (Legal Business Name): COUNTY OF OLMSTED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 06/26/2020
Certification Date: 06/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CAMPUS DR SE STE 100
ROCHESTER MN
55904-4722
US

IV. Provider business mailing address

2100 CAMPUS DR SE STE 100
ROCHESTER MN
55904-4722
US

V. Phone/Fax

Practice location:
  • Phone: 507-328-7500
  • Fax: 507-328-7501
Mailing address:
  • Phone: 507-328-7500
  • Fax: 507-328-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number327771
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: GRAHAM BRIGGS
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 507-328-7436