Organization Name: | OTTER TAIL COUNTY PUBLIC HEALTH |
NPI Number: | 1164730362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE THORSON (DEPARTMENT HEAD) |
Mailing Address: | 118 North Main Avenue New York Mills |
State: | MN US |
Postal Code: | 56567 |
Phone Number: | 2183855505 |
Fax Number: | 2183853852 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |