Organization
OLMSTED COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANN MARIE BAKKEN (ASSISTANT CONTROLLER)
(507) 328-6460
Entity
Organization
Contact information
Practice address
2117 CAMPUS DR SE STE 200, ROCHESTER, MN 55904-4825
(507) 328-6400
Mailing address
2117 CAMPUS DR. SE, STE 200, ROCHESTER, MN 55904
(507) 328-6400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
06/26/2020
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