Organization Active NPI

Becker County

  • Public Health or Welfare Agency
  • Detroit Lakes, MN
National Provider Identifier
1164512372
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
163WC1500X Issued in MN
Legal business name
BECKER COUNTY
Practice address
712 Minnesota Ave
Detroit Lakes, MN 56501-3035
Phone
(218) 847-5628
Fax
(218) 847-6738
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Nancy Nelson
Title
Director
Phone
(218) 847-5628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 163WC1500X MN Primary

Addresses

Primary practice location

712 Minnesota Ave
Detroit Lakes, MN 56501-3035

Mailing address

712 Minnesota Ave
Detroit Lakes, MN 56501-3035
Phone (218) 847-5628

Other identifiers 4

IdentifierTypeStateIssuer
338K8BEOtherMNBLUE PLUS
83-00119OtherMNMEDICA
084915400MedicaidMN
59-00258OtherMNMEDICA

Other names 1

  • Becker County Community Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2137127Becker County Community Health712 Minnesota Ave, Detroit Lakes, MN 56501Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

712 Minnesota Ave
Detroit Lakes, MN 56501
Phone (218) 847-5628

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1164512372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MINNESOTA AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013035",
            "telephone_number": "218-847-5628",
            "fax_number": "218-847-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 MINNESOTA AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013035",
            "telephone_number": "218-847-5628",
            "fax_number": "218-847-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-847-5628"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "163WC1500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "338K8BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "83-00119",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084915400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "59-00258",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker County Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.