Organization Active NPI

Morrison County

  • Case Management Agency
  • Little Falls, MN
National Provider Identifier
1255406286
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MORRISON COUNTY
Doing business as
Social Services
Practice address
213 1St Ave SE
Little Falls, MN 56345-1468
Phone
(320) 632-2951
Fax
(320) 632-0225
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Mr. Nathan Daniel Bertram
Title
Director
Phone
(320) 632-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN Primary

Addresses

Primary practice location

213 1St Ave SE
Little Falls, MN 56345-1468

Mailing address

213 1St Ave SE
Little Falls, MN 56345-1468

Other identifiers 1

IdentifierTypeStateIssuer
000049300MedicaidMN

Other names 1

  • Social Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1255406286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 1ST AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563451468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 1ST AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563451468",
            "telephone_number": "320-632-2951",
            "fax_number": "320-632-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-07-30",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-632-0247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000049300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Social Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.