Healthcare Provider Details

I. General information

NPI: 1760489769
Provider Name (Legal Business Name): CASS COUNTY MN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MICHIGAN AVE.
WALKER MN
56484
US

IV. Provider business mailing address

400 MICHIGAN AVE. PO BOX 519
WALKER MN
56484
US

V. Phone/Fax

Practice location:
  • Phone: 218-547-1340
  • Fax: 218-547-1448
Mailing address:
  • Phone: 218-547-1340
  • Fax: 218-547-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN BUHMANN
Title or Position: CASS COUNTY DIRECTOR OF HEALTH, HUM
Credential:
Phone: 218-547-6863