Organization
MCLEOD COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FELLING (AGENCY ADMINISTRATOR)
(320) 864-3185
Entity
Organization
Contact information
Practice address
1805 FORD AVE N, SUITE 200, GLENCOE, MN 55336-1363
(320) 864-3185
(320) 864-1484
Mailing address
1805 FORD AVE N, SUITE 200, GLENCOE, MN 55336-1363
(320) 864-3185
(320) 864-1484
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
328290
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03072603400
PRIME WEST
MN
01
—
1013475
PREFERRED ONE
MN
01
—
27257
HEALTH PARTNERS
MN
01
—
59-00188
MEDICA
MN
01
—
8223MC
BCBS
MN
01
—
8G775MC
BLUE PLUS
MN
Enumeration date
09/29/2005
Last updated
08/22/2020
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