Organization
COUNTY OF KOOCHICHING
Active
Organization
COUNTY OF KOOCHICHING
Active
Other names
Koochiching County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK FOSS (DIRECTOR)
(218) 283-7000
Entity
Organization
Contact information
Practice address
1000 5TH ST, INTERNATIONAL FALLS, MN 56649-2243
(218) 283-7070
(218) 283-7050
Mailing address
1000 5TH ST, INTERNATIONAL FALLS, MN 56649-2243
(218) 283-7070
(218) 283-7050
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251E00000X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06G63KO
BCBS PROVIDER NUMBER
MN
01
—
127757
UCARE
MN
01
—
59-00164
MEDICA CHOICE PROVIDER NO
MN
05
—
700855400
—
MN
01
—
730000121
MEDICARE PART B
MN
01
—
8264KO
BCBS PROVIDER NUMBER
MN
01
—
83-00013
MEDICA CHOICE PROV NO.
MN
Enumeration date
05/24/2005
Last updated
05/09/2024
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