NPIMap

Organization Active NPI

Olmsted County

  • Community/Behavioral Health Agency
  • Rochester, MN
National Provider Identifier
1053567495
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLMSTED COUNTY
Practice address
2117 Campus Dr SE Ste 200
Rochester, MN 55904-4825
Phone
(507) 328-6400
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Suzann Marie Bakken
Title
Assistant Controller
Phone
(507) 328-6460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2117 Campus Dr SE Ste 200
Rochester, MN 55904-4825

Mailing address

2117 Campus Dr. SE
Ste 200
Rochester, MN 55904
Phone (507) 328-6400

National Provider Directory

National Provider Directory
Tax ID family
Olmsted Comm HLTH Dept9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 4th St SE
Ste 4
Rochester, MN 55904

2117 Campus Dr SE
Ste 200
Rochester, MN 55904
Phone (507) 328-6267

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1053567495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CAMPUS DR. SE",
            "address_2": "STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "507-328-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CAMPUS DR SE STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044825",
            "telephone_number": "507-328-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "BAKKEN",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "507-328-6460"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.