Active NPI
Benton County
Doing business as Benton County Human Services
- Case Management Agency
- Foley, MN
National Provider Identifier
1174697148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2020
- 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
- Timothy J Martin
- Title
- Human Service Director
- Phone
- (320) 968-5088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9G040BE | Other | MN | BCBS |
| 59-00181 | Other | MN | MEDICA |
Other names 1
- Benton County Human Services
National Provider Directory
National Provider Directory- Tax ID family
- Benton County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Benton County Public Health
- Public Health or Welfare Agency
- Foley, MN
- NPI 1659447555
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.