Organization Name: | COUNTY OF KANABEC |
NPI Number: | 1669424198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY L. THOMPSON (DIRECTOR) |
Mailing Address: | 905 Forest Ave E Ste. 127 Mora |
State: | MN US |
Postal Code: | 550511624 |
Phone Number: | 3206796330 |
Fax Number: | 3206796333 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 331159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |