Organization Active NPI

County of Chisago

  • Public Health or Welfare Agency
  • North Branch, MN
National Provider Identifier
1053492330
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CHISAGO
Doing business as
Chisago County Public Health Dept
Practice address
6133 402ND St
North Branch, MN 55056-6097
Phone
(651) 213-5231
Fax
(651) 213-5401
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Jill A Briggs, PHN
Title
Director of Public Health
Phone
(651) 213-5231

Specialties & licenses 1

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

Addresses

Primary practice location

6133 402ND St
North Branch, MN 55056-6097

Mailing address

313 N Main St
Room 240
Center City, MN 55012
Phone (651) 213-5639

Other identifiers 5

IdentifierTypeStateIssuer
599722400MedicaidMN
120907OtherMNUCARE
8300059OtherMEMEDICA
2042UDEOtherMNBLUECROSSBLUESHIELD
5248OtherMNHEALTH PARTNERS

Other names 1

  • Chisago County Public Health Dept Doing business as

National Provider Directory

National Provider Directory

Locations

313 N Main St
Center City, MN 55012
Phone (651) 213-8868

7040 Lake Blvd
Forest Lake, MN 55025
Phone (651) 674-8337

38460 Lincoln Trl
North Branch, MN 55056
Phone (612) 800-7500

38790 6th Ave
North Branch, MN 55056
Phone (651) 631-8311

6133 402nd St
North Branch, MN 55056
Phone (651) 213-5231

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1053492330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "address_2": "ROOM 240",
            "city": "CENTER CITY",
            "state": "MN",
            "postal_code": "55012",
            "telephone_number": "651-213-5639",
            "fax_number": "651-213-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 402ND ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566097",
            "telephone_number": "651-213-5231",
            "fax_number": "651-213-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHISAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "651-213-5231",
        "authorized_official_credential": "PHN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599722400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120907",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8300059",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "2042UDE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5248",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chisago County Public Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.