Organization Active NPI

Carlton Co Public Health & Human Services

  • Public Health or Welfare Agency
  • Cloquet, MN
National Provider Identifier
1013199769
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CARLTON CO PUBLIC HEALTH & HUMAN SERVICES
Practice address
30 N 10TH Street
Cloquet, MN 55720
Phone
(218) 879-4511
Fax
(218) 878-2845
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dave Lee, LICSW LP LMFT
Title
Director
Phone
(218) 879-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MN Primary

Addresses

Primary practice location

30 N 10TH Street
Cloquet, MN 55720

Mailing address

30 N 10TH Street
Cloquet, MN 55720
Phone (218) 879-4511

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1013199769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 10TH STREET",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-879-4511",
            "fax_number": "218-878-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 10TH STREET",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-879-4511",
            "fax_number": "218-878-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON CO PUBLIC HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-879-4511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW LP LMFT"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.