Active NPI
County of Washington
- Public Health or Welfare Agency
- Stillwater, MN
National Provider Identifier
1669554408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 251K00000X
- Legal business name
- COUNTY OF WASHINGTON
- Practice address
- 14949 62ND St N RM 450
Stillwater, MN 55082-6132 - Phone
- (651) 430-6655
- Fax
- (651) 430-6730
- NPI assigned
- Oct 20, 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
- David Brummel
- Title
- Director
- Phone
- (651) 430-6662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 251K00000X | MN | Primary |
Addresses
Primary practice location
14949 62ND St N RM 450
Stillwater, MN 55082-6132
Mailing address
14949 62ND St N
Room 4600
Stillwater, MN 55082-6132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226853100 | Medicaid | MN |
Other names 1
- Washington County Department of Public Health and Environment
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 |
|---|---|---|---|
| 24D1018846 | Washington County Dept of Public Health & | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
13000 Ravine Pkwy
Cottage Grove, MN 55016
Phone (651) 430-4075
19955 Forest Rd N
Forest Lake, MN 55025
Phone (651) 275-7200
14949 62nd St N
Rm 4600
Stillwater, MN 55082
Phone (651) 430-6655
14949 62nd St N
Rm 450
Stillwater, MN 55082
Phone (651) 430-6655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1669554408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14949 62ND ST N",
"address_2": "ROOM 4600",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14949 62ND ST N RM 450",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826132",
"telephone_number": "651-430-6655",
"fax_number": "651-430-6730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WASHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "BRUMMEL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "651-430-6662"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MN",
"license": "251K00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226853100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington County Department of Public Health and Environment",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Washington County Department of Public Health and Environment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.