Organization
KITTSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE RICE I (HIPAA COORDINATOR)
(218) 843-2113
Entity
Organization
Contact information
Practice address
410 S 5TH ST, SUITE 104, HALLOCK, MN 56728-4140
(218) 843-2113
(218) 843-2020
Mailing address
410 S. 5TH ST., SUITE 104, HALLOCK, MN 56735-0104
(218) 843-2113
(218) 843-2020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123189
UCARE MINNESOTA
MN
Enumeration date
03/08/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us