County of Rice

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF RICE

Practice address

320 3Rd St NW
Suite 1
Faribault, MN 55021-5194

Phone

(507) 332-6111

Fax

(507) 332-5932

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Debra K Purfeerst, PHN RN

Title

Director of Public Health

Phone

(507) 332-5914

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• Rice County Public Health Nursing Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Home health agency certification: CCN 247005

Legal name

COUNTY OF RICE

Doing business as

RICE COUNTY PUBLIC HEALTH NURSING SERVICE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 1, 1966

Last certification

Sep 20, 2017

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

320 3Rd St NW
Ste 1
Faribault, MN 55021-5183

Listed as

Rice County PHNSCCN 247005

Ownership

Government Operated

Certified

Jul 1, 1966

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

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

CLIA laboratory certificates

Tax ID family

County of Rice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Rice County Social Services

  • Community/Behavioral Health Agency
  • Faribault, MN
  • NPI 1508118407
  NPD tax ID
• Rice County Social Services

  • Community/Behavioral Health Agency
  • Faribault, MN
  • NPI 1669671434
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1164548442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 3RD ST NW",
            "address_2": "SUITE 1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215194",
            "telephone_number": "507-332-6111",
            "fax_number": "507-332-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 3RD ST NW",
            "address_2": "SUITE 1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215194",
            "telephone_number": "507-332-6111",
            "fax_number": "507-332-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "PURFEERST",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "507-332-5914",
        "authorized_official_credential": "PHN RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "356216",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC",
            "identifier": "34G83RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1026326",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE CLINICAL",
            "identifier": "117192",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HOME CARE",
            "identifier": "5900195",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME CARE",
            "identifier": "8256RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "87726",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400355100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CLINICAL",
            "identifier": "8300092",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rice County Public Health Nursing Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rice County Public Health Nursing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connecting Dots
• Stephanie Conroy, CMT
• Keri M Coon, APRN NP-C
• Benjamin James Cooper, PHARMD
• Hallie Costello
• Mary Crandall
• Michelle Crosby, NP
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• Ashwaq Dagane
• Safwaan Dagane

• Public Health or Welfare Agency in Faribault, MN
• Providers in Faribault, 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 Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.