Organization
STEVENS TRAVERSE GRANT PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY WINDOM-KIRSCH RN PHN DIRECTOR (DIRECTOR)
(320) 589-7425
Entity
Organization
Contact information
Practice address
621 PACIFIC AVENUE, MORRIS, MN 56267
(320) 589-7425
(320) 589-7433
Mailing address
621 PACIFIC AVENUE, MORRIS, MN 56267
(320) 589-7425
(320) 589-7433
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
328493
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01017242
PREFERRED ONE INSURANCE
—
01
—
12745401
U CARE INSURANCE
—
01
—
144J9ST
BCBS DME
—
01
—
8300111
MEDICA INSURANCE
—
01
—
8G534ST
BCBS INSURANCE
—
Enumeration date
01/30/2006
Last updated
08/22/2020
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