Organization Active NPI

Wright County

  • Case Management Agency
  • Buffalo, MN
National Provider Identifier
1124197249
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WRIGHT COUNTY
Practice address
1004 Commercial Dr
Buffalo, MN 55313-1736
Phone
(763) 682-7400
Fax
(763) 682-7701
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Jami Goodrum
Title
Director
Phone
(763) 682-7411

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1004 Commercial Dr
Buffalo, MN 55313-1736

Mailing address

3650 Braddock Ave NE Ste 2100
Buffalo, MN 55313-3675
Phone (763) 682-7400

Other identifiers 1

IdentifierTypeStateIssuer
000086800MedicaidMN

Other names 1

  • Wright County Health & Human Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1124197249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 BRADDOCK AVE NE STE 2100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553133675",
            "telephone_number": "763-682-7400",
            "fax_number": "763-682-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 COMMERCIAL DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131736",
            "telephone_number": "763-682-7400",
            "fax_number": "763-682-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "GOODRUM",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-682-7411"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000086800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright County Health & Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.