Active NPI
County of Wabasha
- Home Health Agency
- Wabasha, MN
National Provider Identifier
1255333530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 325766
- Legal business name
- COUNTY OF WABASHA
- Practice address
- 411 Hiawatha Dr E
Wabasha, MN 55981-1573 - Phone
- (651) 565-5200
- Fax
- (651) 565-2637
- NPI assigned
- Jun 1, 2005
- 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
- Mrs. Judith Barton, PHN, DON
- Title
- Director
- Phone
- (651) 565-5200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 325766 | MN | Primary |
| Public Health or Welfare Agency | 251K00000X | MN |
Addresses
Primary practice location
411 Hiawatha Dr E
Wabasha, MN 55981-1573
Mailing address
411 Hiawatha Dr E
Wabasha, MN 55981-1573
Phone (651) 565-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812814600 | Medicaid | MN | |
| 124347 | Other | MN | U-CARE INS PROVIDER # |
| 2015AWA | Other | MN | BCBS OF MN PROVIDER # |
| 2015UWA | Other | MN | BCBS OF MN PROVIDER # |
Other names 1
- Wabasha County Public 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 |
|---|---|---|---|
| 24D0971583 | Wabasha County Public Health Services | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
411 Hiawatha Dr E
Wabasha, MN 55981
Phone (651) 565-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1255333530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 HIAWATHA DR E",
"city": "WABASHA",
"state": "MN",
"postal_code": "559811573",
"telephone_number": "651-565-5200",
"fax_number": "651-565-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 HIAWATHA DR E",
"city": "WABASHA",
"state": "MN",
"postal_code": "559811573",
"telephone_number": "651-565-5200",
"fax_number": "651-565-2637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WABASHA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "651-565-5200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHN, DON"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "325766",
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812814600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE INS PROVIDER #",
"identifier": "124347",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN PROVIDER #",
"identifier": "2015AWA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN PROVIDER #",
"identifier": "2015UWA",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wabasha County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wabasha, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.