NPIMap

Organization Active NPI

Olmsted County Community Services

  • Community/Behavioral Health Agency
  • Rochester, MN
National Provider Identifier
1801093869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11982 Issued in MN
Legal business name
OLMSTED COUNTY COMMUNITY SERVICES
Practice address
1421 3Rd Ave SE
Rochester, MN 55904-7947
Phone
(507) 287-1564
Fax
(507) 529-4132
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Brendle McEvoy, MSW
Title
Manager
Phone
(507) 287-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11982 MN Primary

Addresses

Primary practice location

1421 3Rd Ave SE
Rochester, MN 55904-7947

Mailing address

1421 3Rd Ave SE
Rochester, MN 55904-7947
Phone (507) 287-1564

Other names 1

  • Children's Mental Health Resource Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olmsted Comm HLTH Dept9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1421 3rd Ave SE
Rochester, MN 55904
Phone (507) 287-1564

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801093869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 3RD AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047947",
            "telephone_number": "507-287-1564",
            "fax_number": "507-529-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047947",
            "telephone_number": "507-287-1564",
            "fax_number": "507-529-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCEVOY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "BRENDLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-287-1564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "11982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Mental Health Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.