Organization
COUNTY OF WILKIN
Active
Other names
Wilkin County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A JACOBS PHN (DIRECTOR)
(218) 643-7122
Entity
Organization
Contact information
Practice address
300 5TH ST S, BRECKENRIDGE, MN 56520-1918
(218) 643-7122
(218) 643-7166
Mailing address
PO BOX 127, BRECKENRIDGE, MN 56520
(218) 643-7122
(218) 643-7166
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164868501
—
TX
05
—
54484
—
ND
05
—
659253800
—
MN
01
—
8260WI
BCBS OF MN
MN
01
—
8300065
MEDICA
MN
01
—
8G500WI
BLUE PLUS
MN
Enumeration date
07/29/2006
Last updated
01/05/2010
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