Organization
COUNTY OF FREEBORN
Active
Other names
Freeborn County Public Health Nursing Services
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS AHERN (PHN DIRECTOR CHS ADMINISTRATOR)
(507) 377-5100
Entity
Organization
Contact information
Practice address
411 S BROADWAY AVE, ALBERT LEA, MN 56007-4505
(507) 377-5100
Mailing address
411 S BROADWAY AVE, P.O. BOX 1147, ALBERT LEA, MN 56007-4505
(507) 377-5100
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090555100
—
MN
01
—
129890
UCARE
MN
01
—
14514
MMSI
MN
01
—
8202FR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/21/2007
Last updated
06/07/2010
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