Organization
PENNINGTON & RED LAKE COUNTY PUBLIC HEALTH & HOME CARE
Active
Other names
Inter-County Nursing Service
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA R JORE PHN (DIRECTOR)
(218) 681-0876
Entity
Organization
Contact information
Practice address
101 MAIN AVE N, THIEF RIVER FALLS, MN 56701-1901
(218) 681-0876
(218) 683-7099
Mailing address
101 MAIN AVE N, THIEF RIVER FALLS, MN 56701-1901
(218) 681-0876
(218) 683-7099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326512
MN
251K00000X
Public Health or Welfare Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045280
PREFERRED ONE
MN
01
—
167895
UCARE WITH ALTRU
MN
01
—
167897
UCARE WITH ALTRU
MN
05
—
458554200
—
MN
01
—
8227IN
BCBS OF MN/BLUE PLUS
MN
01
—
8G493IN
BCBS OF MN/BLUE PLUS
MN
Enumeration date
05/24/2005
Last updated
12/30/2025
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