Organization Active NPI

Pennington County Human Services

  • Case Management Agency
  • Thief River Falls, MN
National Provider Identifier
1649594425
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PENNINGTON COUNTY HUMAN SERVICES
Practice address
318 Knight Ave N
Thief River Falls, MN 56701-1929
Phone
(218) 681-2880
Fax
(218) 683-7013
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Kenneth Yutrzenka
Title
Director
Phone
(218) 681-2880

Specialties & licenses 1

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

Addresses

Primary practice location

318 Knight Ave N
Thief River Falls, MN 56701-1929

Mailing address

PO Box 340
Thief River Falls, MN 56701-0340
Phone (218) 681-2880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1649594425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567010340",
            "telephone_number": "218-681-2880",
            "fax_number": "218-683-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 KNIGHT AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567011929",
            "telephone_number": "218-681-2880",
            "fax_number": "218-683-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON COUNTY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "YUTRZENKA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-681-2880"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.