# STEVENS TRAVERSE GRANT PUBLIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962473710
- **Authorized official:** MS. BETTY WINDOM-KIRSCH RN PHN DIRECTOR (DIRECTOR)
- **Authorized official phone:** (320) 589-7425

## Contact information

- **Practice address:** 621 PACIFIC AVENUE, MORRIS, MN 56267
- **Practice address phone:** (320) 589-7425
- **Practice address fax:** (320) 589-7433
- **Mailing address:** 621 PACIFIC AVENUE, MORRIS, MN 56267
- **Mailing address phone:** (320) 589-7425
- **Mailing address fax:** (320) 589-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 328493 | MN | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/22/2020