Healthcare Provider Details
I. General information
NPI: 1205833407
Provider Name (Legal Business Name): CASS COUNTY MN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2005
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
56484-2150
US
IV. Provider business mailing address
PO BOX 519
WALKER MN
56484-0519
US
V. Phone/Fax
- Phone: 218-547-1340
- Fax: 218-547-1448
- Phone: 218-547-1340
- Fax: 218-547-1448
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JERI
SEEGMILLER
Title or Position: PUBLIC HEALTH SUPERVISOR
Credential: PHN
Phone: 218-547-6839