Nobles-Rock Community Health Services

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

3486464 Issued in MN

Legal business name

NOBLES-ROCK COMMUNITY HEALTH SERVICES

Practice address

315 10TH St
Worthington, MN 56187-2315

Phone

(507) 372-8256

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By 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

Mr. Brad Meyer, MHA

Title

CHS Administrator

Phone

(507) 372-8256

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083779169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 10TH ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872315",
            "telephone_number": "507-372-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 10TH ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872315",
            "telephone_number": "507-372-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLES-ROCK COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHS ADMINISTRATOR",
        "authorized_official_telephone_number": "507-372-8256",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "3486464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "7Y30NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "62B70NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nobles Cooperative Elecrtric
• Nobles County (Nobles County Community Services)
• Nobles County Jail
• Nobles Crossroads Holdings LLC (Crossroads Restorative Care Center)
• Nobles South Shore Holdings LLC (South Shore Restorative Care Center)
• Alyssa Nordell
• Randal H Noyes, DO
• Jennifer M Oakes, CRNA
• Chioma Blessing Osemwegie, MD
• Maria Conchita Paez-Sievert

• Public Health or Welfare Agency in Worthington, MN
• Providers in Worthington, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.