| Organization Name: | OTTER TAIL COUNTY PUBLIC HEALTH DEPARTMENT |
| NPI Number: | 1023001260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE R THORSON (DIRECTOR/CHS ADMINISTRATOR) |
| Mailing Address: | 560 W Fir Ave Government Services Center Fergus Falls |
| State: | MN US |
| Postal Code: | 565371364 |
| Phone Number: | 2189988320 |
| Fax Number: | 2189988352 |
| NPI Enumeration Date: | 08/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 325747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |