Organization
BENTON COUNTY
Active
Other names
Benton County Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J MARTIN (HUMAN SERVICE DIRECTOR)
(320) 968-5088
Entity
Organization
Contact information
Practice address
531 DEWEY ST, FOLEY, MN 56329-8413
(320) 968-5087
(320) 968-5330
Mailing address
PO BOX 740, FOLEY, MN 56329-0740
(320) 968-5087
(320) 968-5330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-00181
MEDICA
MN
01
—
9G040BE
BCBS
MN
Enumeration date
11/20/2006
Last updated
08/22/2020
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