Organization Active NPI

County of Washington

  • Public Health or Welfare Agency
  • Stillwater, MN
National Provider Identifier
1669554408
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
251K00000X Issued in MN
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

Updated by the provider on Sep 13, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
226853100MedicaidMN

Other names 1

  • Washington County Department of Public Health and Environment Doing business as

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
24D1018846Washington County Dept of Public Health &14949 62ND Street N, Stillwater, MN 55082Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.