Organization Active NPI

County of Fillmore

  • Public Health or Welfare Agency
  • Preston, MN
National Provider Identifier
1497722318
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF FILLMORE
Practice address
902 Houston St NW
Preston, MN 55965
Phone
(507) 765-3898
Fax
(507) 765-2139
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Jessica Mae Erickson, PHN
Title
Don
Phone
(507) 765-2647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 328391 MN
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

902 Houston St NW
Preston, MN 55965

Mailing address

902 Houston St NW
Preston, MN 55965-1094
Phone (507) 765-3898

Other identifiers 1

IdentifierTypeStateIssuer
928353600MedicaidMN

Other names 1

  • Fillmore County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827002969 MN Part B Supplier - Mass Immunization (Roster Biller Only) 1153446877 Practice locations: Preston, MN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0651514Fillmore County Public Health902 Houston St NW Suite 2, Preston, MN 55965Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

902 Houston St NW
Preston, MN 55965
Phone (507) 765-3898

902 Houston St NW
Ste 2
Preston, MN 55965
Phone (507) 765-2647

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1497722318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 HOUSTON ST NW",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651094",
            "telephone_number": "507-765-3898",
            "fax_number": "507-765-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 HOUSTON ST NW",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "55965",
            "telephone_number": "507-765-3898",
            "fax_number": "507-765-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FILLMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "507-765-2647",
        "authorized_official_credential": "PHN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "328391",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928353600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fillmore County Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fillmore County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Preston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.