# KANDIYOHI-RENVILLE COMMUNITY HEALTH BOARD

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

## Provider details

- **NPI number:** 1992059687
- **Authorized official:** JILL L BRUNS PHN (CHB ADMINISTRATOR)
- **Authorized official phone:** (320) 523-3723

## Contact information

- **Practice address:** 105 S 5TH ST, SUITE 119H, OLIVIA, MN 56277-1374
- **Practice address phone:** (320) 523-3723
- **Practice address fax:** (320) 523-3749
- **Mailing address:** 105 S 5TH ST, SUITE 119H, OLIVIA, MN 56277-1374
- **Mailing address phone:** (320) 523-3723
- **Mailing address fax:** (320) 523-3749

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 11/01/2012