Organization Name: | BECKER COUNTY |
NPI Number: | 1164512372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY NELSON (DIRECTOR) |
Mailing Address: | 712 Minnesota Ave Detroit Lakes |
State: | MN US |
Postal Code: | 565013035 |
Phone Number: | 2188475628 |
Fax Number: | 2188476738 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 163WC1500X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |