NPIMap

Organization Active NPI

County of Douglas

  • Community Based Hospice Care Agency
  • Alexandria, MN
National Provider Identifier
1689677478
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
326907 Issued in MN
Legal business name
COUNTY OF DOUGLAS
Practice address
725 Elm St
Ste 1200
Alexandria, MN 56308-1760
Phone
(320) 763-6018
Fax
(320) 763-4127
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Ms. Sandra L Tubbs, PHN
Title
Director
Phone
(320) 763-6018

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN
Community Based Hospice Care Agency 251G00000X 326907 MN Primary
Public Health or Welfare Agency 251K00000X MN

Addresses

Primary practice location

725 Elm St
Ste 1200
Alexandria, MN 56308-1760

Mailing address

725 Elm St
Ste 1200
Alexandria, MN 56308-1760
Phone (320) 763-6018

Other identifiers 9

IdentifierTypeStateIssuer
31359OtherMNHEALTH PARTNERS
03072603200OtherMNPRIMEWEST
83-02316OtherMNMEDICA
8276DOOtherMNBLUE CROSS/BLUE SHIELD
1006413OtherMNPREFERRED ONE
59-00162OtherMNMEDICA HOME CARE
76523DOOtherMNBLUE CROSS/BLUE SHIELD
122917OtherMNUCARE MINNESOTA
758353200MedicaidMN

Other names 1

  • DOUGLAS COUNTY PUBLIC HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

725 Elm St
#1200
Alexandria, MN 56308
Phone (320) 763-6018

725 Elm St
Ste 1250
Alexandria, MN 56308
Phone (320) 763-6018

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1689677478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ELM ST",
            "address_2": "STE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081760",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ELM ST",
            "address_2": "STE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081760",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-763-6018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "326907",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "31359",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "03072603200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "83-02316",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8276DO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1006413",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HOME CARE",
            "identifier": "59-00162",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "76523DO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "122917",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758353200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLAS COUNTY PUBLIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.