County of Dodge

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

8026557 Issued in MN

Legal business name

COUNTY OF DODGE

Practice address

42 E. Main St.
Dodge Center, MN 55927

Phone

(507) 635-6150

Fax

(507) 633-9601

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Amy Evans, PHN

Title

Director of Public Health

Phone

(507) 635-6150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dodge County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Dodge

  • Skilled Nursing Facility
  • Dodge Center, MN
  • NPI 1689783987

  5799685384

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

County of Dodge3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• County of Dodge

  • Skilled Nursing Facility
  • Dodge Center, MN
  • NPI 1689783987
  NPD tax ID
• Dodge County Human Services

  • Public Health or Welfare Agency
  • Mantorville, MN
  • NPI 1225337173
  NPD tax ID

Locations

Practitioners 1

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

• Mayra L Monarrez

  • Community Health Worker
  • Dodge Center, MN
  • NPI 1790412625
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1619002680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 129",
            "address_2": "42 E MAIN ST.",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "507-635-6150",
            "fax_number": "507-633-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E. MAIN ST.",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "507-635-6150",
            "fax_number": "507-633-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "507-635-6150",
        "authorized_official_credential": "PHN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MN",
            "license": "8026557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458353100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge County Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dodge County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cintia Blas
• Allison Lynn Bottema
• Michelle Brannick
• Bethany Buus, M.S., CCC-SLP
• City of Dodge Center
• County of Dodge
• Dodge Center Chiropractic Office, P.a.
• Paul J Donnay, DDS
• William Bryan Edwards, LADC
• Eleanor (Ellie) Freerksen, MS

• State or Local Public Health Clinic/Center in Dodge Center, MN
• Providers in Dodge Center, MN by specialty
• State or Local Public Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.