Organization
COUNTY OF CROW WING
Active
Other names
Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA TERRY (CHS ADMINISTRATOR)
(218) 824-1205
Entity
Organization
Contact information
Practice address
204 LAUREL ST, SUITE 12, BRAINERD, MN 56401-3547
(218) 824-1080
(218) 824-1081
Mailing address
204 LAUREL ST, SUITE 12, BRAINERD, MN 56401-3547
(218) 824-1080
(218) 824-1081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
369857
MN
251K00000X
Public Health or Welfare Agency
Primary
369857
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117302
HEALTH PARTNERS
MN
05
—
1194736553
—
MN
01
—
151083
UCARE OF MINNESOTA
MN
01
—
8234CR
BCBS OF MN
MN
01
—
83-02317
MEDICA
MN
01
—
8G848CR
BCBS / BLUE PLUS OF MN
MN
Enumeration date
08/11/2006
Last updated
12/02/2015
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