Koochiching County Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

5711893 Issued in MN

Legal business name

KOOCHICHING COUNTY COMMUNITY SERVICES

Practice address

1000 5TH St
Intl Falls, MN 56649-2243

Phone

(218) 283-7000

Fax

(218) 283-7013

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Bobbi Sivonen

Title

Accounting Technician

Phone

(218) 283-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1104150291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH ST",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492243",
            "fax_number": "218-283-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH ST",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492243",
            "telephone_number": "218-283-7000",
            "fax_number": "218-283-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOCHICHING COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "SIVONEN",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "ACCOUNTING TECHNICIAN",
        "authorized_official_telephone_number": "218-283-7000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "5711893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.