Organization Active NPI

County of Freeborn

  • Public Health or Welfare Agency
  • Albert Lea, MN
National Provider Identifier
1780709170
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF FREEBORN
Practice address
411 S Broadway Ave
Albert Lea, MN 56007-4505
Phone
(507) 377-5100
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Lois Ahern
Title
PHN Director CHS Administrator
Phone
(507) 377-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

411 S Broadway Ave
Albert Lea, MN 56007-4505

Mailing address

411 S Broadway Ave
P.O. Box 1147
Albert Lea, MN 56007-4505
Phone (507) 377-5100

Other identifiers 4

IdentifierTypeStateIssuer
090555100MedicaidMN
14514OtherMNMMSI
8202FROtherMNBLUE CROSS BLUE SHIELD
129890OtherMNUCARE

Other names 1

  • Freeborn County Public Health Nursing Services 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
24D0651527Freeborn County Public Health and Wic411 South Broadway, Albert Lea, MN 56007Certificate of waiverAug 31, 2026
24D2032460Freeborn County Adult Detention Center411 Broadway S, Albert Lea, MN 56007Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory

Locations

203 W Clark St
Albert Lea, MN 56007
Phone (507) 377-5403

411 S Broadway Ave
Albert Lea, MN 56007
Phone (507) 377-5100

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1780709170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S BROADWAY AVE",
            "address_2": "P.O. BOX 1147",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074505",
            "telephone_number": "507-377-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S BROADWAY AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074505",
            "telephone_number": "507-377-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FREEBORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "PHN DIRECTOR CHS ADMINISTRATOR",
        "authorized_official_telephone_number": "507-377-5100"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090555100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI",
            "identifier": "14514",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8202FR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "129890",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeborn County Public Health Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.