Active NPI
County of Fillmore
- Public Health or Welfare Agency
- Preston, MN
National Provider Identifier
1497722318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928353600 | Medicaid | MN |
Other names 1
- Fillmore County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180827002969 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153446877 | Practice locations: Preston, MN |
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 |
|---|---|---|---|
| 24D0651514 | Fillmore County Public Health | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Lactation Consultant (Registered Nurse)
- Preston, MN
- NPI 1790039436
-
- Registered Dietitian
- Preston, MN
- NPI 1316184229
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.