Organization
COUNTY OF PINE
Active
Other names
Pine County Health and Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FOSS (PINE COUNTY HHS DIRECTOR)
(320) 216-4104
Entity
Organization
Contact information
Practice address
635 NORTHRIDGE DR NW STE 220, PINE CITY, MN 55063-5984
(320) 591-1570
(320) 591-1602
Mailing address
635 NORTHRIDGE DR NW STE 220, PINE CITY, MN 55063-5984
(320) 591-1570
(320) 591-1602
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
MN
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
908853900
MEDICARE, TYPE UNSPECIFIED
MN
05
—
A000058200
—
MN
Enumeration date
05/18/2016
Last updated
12/12/2022
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