# CLAY COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clay County Public Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114142569
- **Authorized official:** LORI J JOHNSON (CLAY COUNTY AUDITOR)
- **Authorized official phone:** (218) 299-5262

## Contact information

- **Practice address:** 715 11TH ST N, STE 303, MOORHEAD, MN 56560-2083
- **Practice address phone:** (218) 299-7301
- **Practice address fax:** (218) 299-5795
- **Mailing address:** 715 11TH ST N STE 303, MOORHEAD, MN 56560-2083
- **Mailing address phone:** (218) 299-7301
- **Mailing address fax:** (218) 299-5195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | — | NULL | Yes |
| 163WC1500X | Community Health Registered Nurse | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 01/03/2020