Organization
COUNTY OF PINE
Active
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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