County of Beltrami

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF BELTRAMI

Practice address

616 America Avenue NW Suite 340
Bemidji, MN 56601-3873

Phone

(218) 333-8100

Fax

(218) 333-8360

NPI assigned

Jan 30, 2006

Last updated

Nov 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Kaye Borgen, MBA

Title

CHS Administrator

Phone

(218) 333-8116

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca C Secore, LMFT

  • Marriage & Family Therapist
  • Bemidji, MN
  • NPI 1346402179
  NPD
• Darice Diane Dwyer, PHN

  • Home Health Registered Nurse
  • Bemidji, MN
  • NPI 1265766752
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1043281876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVENUE NW SUITE 340",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013873",
            "telephone_number": "218-333-8140",
            "fax_number": "218-333-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVENUE NW SUITE 340",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013873",
            "telephone_number": "218-333-8100",
            "fax_number": "218-333-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BELTRAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "BORGEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CHS ADMINISTRATOR",
        "authorized_official_telephone_number": "218-333-8116",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "306J5BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8231BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8300068",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567553700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Cormican
• Joseph A. Corser, M.D.
• Costanzo Chiropractic (Fox and Fern Chiropractic)
• Kristin Costanzo, DC
• Counseling Services of Bemidji Professional Corporation (Counseling Services of Bemidji)
• Cody Lee Coyer, B.S, LADC
• Andrea Olivia Craig, APRN, CNP
• William Randall Crews, ATC
• Jessica Rae Croatt Niemi, LICSW
• Morgan Croatt, MSW, LICSW

• State or Local Public Health Clinic/Center in Bemidji, MN
• Providers in Bemidji, MN by specialty
• State or Local Public Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.