Mille Lacs County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

548753600 Issued in MN

Legal business name

MILLE LACS COUNTY

Doing business as

Mille Lacs County Public Health

Practice address

525 2ND St SE
Milaca, MN 56353-1303

Phone

(320) 983-8208

Fax

(320) 983-8306

NPI assigned

Aug 9, 2005

Last updated

Aug 25, 2025By 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

Ms. Char Kohlgraf

Title

MLC CVS Director

Phone

(320) 983-8208

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Mille Lacs County Public Health Doing business as

Tax ID family

Mille Lacs County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mille Lacs County

  dba Mille Lacs County CVS

  • Community/Behavioral Health Agency
  • Milaca, MN
  • NPI 1619108156
  NPD tax ID

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1104827500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 2ND ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531303",
            "telephone_number": "320-983-8318",
            "fax_number": "320-983-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 2ND ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531303",
            "telephone_number": "320-983-8208",
            "fax_number": "320-983-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "KOHLGRAF",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "MLC CVS DIRECTOR",
        "authorized_official_telephone_number": "320-983-8208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "548753600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "125056",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "45316",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8302313",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "07G89MI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548753600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8251MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mille Lacs County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Lynn Mason
• Kelly Renae Mau, PHARM.D.
• Michael
• Milaca Family Dental, LLC
• Mille Lacs Chiropractics
• Mille Lacs County (Mille Lacs County CVS)
• Mille Lacs Health System (Mille Lacs Chiropractic)
• Mille Lacs Health System (Mille Lacs Health System Milaca Family Clinic)
• Molacek Family Eyecare, Inc.
• Kimberly Ann Molacek, OD

• Public Health or Welfare Agency in Milaca, MN
• Providers in Milaca, 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 25, 2025; 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.