| Organization Name: | RENVILLE COUNTY |
| NPI Number: | 1932387255 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHAN BLAD (CFO) |
| Mailing Address: | 100 Healthy Way Olivia |
| State: | MN US |
| Postal Code: | 562771117 |
| Phone Number: | 3205231460 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2008 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |