Active NPI
Becker County
- Public Health or Welfare Agency
- Detroit Lakes, MN
National Provider Identifier
1164512372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 163WC1500X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338K8BE | Other | MN | BLUE PLUS |
| 83-00119 | Other | MN | MEDICA |
| 084915400 | Medicaid | MN | |
| 59-00258 | Other | MN | MEDICA |
Other names 1
- Becker County Community Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2137127 | Becker County Community Health | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Community Health Registered Nurse
- Detroit Lakes, MN
- NPI 1578992020
-
- Community Health Registered Nurse
- Detroit Lakes, MN
- NPI 1245669647
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.