Healthcare Provider Details

I. General information

NPI: 1144609710
Provider Name (Legal Business Name): COUNTY OF RAMSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 4TH AVE NE UNIT 19
DEVILS LAKE ND
58301-2490
US

IV. Provider business mailing address

524 4TH AVE NE UNIT 19
DEVILS LAKE ND
58301-2490
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-7050
  • Fax: 701-662-7095
Mailing address:
  • Phone: 701-662-7050
  • Fax: 701-662-7095

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. RHONDA R ALLERY
Title or Position: DIRECTOR, MOUNTAIN LAKES HUMAN SERV
Credential:
Phone: 701-662-7067