NPIMap

Organization Active NPI

Kanabec County Family Services

  • Community/Behavioral Health Agency
  • Mora, MN
National Provider Identifier
1700047552
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KANABEC COUNTY FAMILY SERVICES
Practice address
905 Forest Ave E
Suite 150
Mora, MN 55051-1624
Phone
(320) 679-6330
Fax
(320) 679-6333
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ms. Wendy L Thompson, MS PHN RN
Title
Director
Phone
(320) 679-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

905 Forest Ave E
Suite 150
Mora, MN 55051-1624

Mailing address

905 Forest Ave E
Suite 150
Mora, MN 55051-1624
Phone (320) 679-6330

National Provider Directory

National Provider Directory
Tax ID family
Kanabec County Public Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1700047552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FOREST AVE E",
            "address_2": "SUITE 150",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511624",
            "telephone_number": "320-679-6330",
            "fax_number": "320-679-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FOREST AVE E",
            "address_2": "SUITE 150",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511624",
            "telephone_number": "320-679-6330",
            "fax_number": "320-679-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANABEC COUNTY FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-679-6330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS PHN RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.