Organization Active NPI

Benton County

Doing business as Benton County Human Services

  • Case Management Agency
  • Foley, MN
National Provider Identifier
1174697148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BENTON COUNTY
Doing business as
Benton County Human Services
Practice address
531 Dewey St
Foley, MN 56329-8413
Phone
(320) 968-5087
Fax
(320) 968-5330
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy J Martin
Title
Human Service Director
Phone
(320) 968-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

531 Dewey St
Foley, MN 56329-8413

Mailing address

PO Box 740
Foley, MN 56329-0740
Phone (320) 968-5087

Other identifiers 2

IdentifierTypeStateIssuer
9G040BEOtherMNBCBS
59-00181OtherMNMEDICA

Other names 1

  • Benton County Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benton 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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174697148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563290740",
            "telephone_number": "320-968-5087",
            "fax_number": "320-968-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 DEWEY ST",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298413",
            "telephone_number": "320-968-5087",
            "fax_number": "320-968-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HUMAN SERVICE DIRECTOR",
        "authorized_official_telephone_number": "320-968-5088"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9G040BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "59-00181",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton County Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.