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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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