Active NPI
County of Mower
- Home Health Agency
- Austin, MN
National Provider Identifier
1821095563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 328306
- Legal business name
- COUNTY OF MOWER
- Practice address
- 1301 18TH Ave NW
Suite a
Austin, MN 55912-1888 - Phone
- (507) 437-9770
- Fax
- (507) 434-2695
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margene Gunderson, PHN
- Title
- Community Health Services Director
- Phone
- (507) 437-9770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 328306 | MN | Primary |
Addresses
Primary practice location
1301 18TH Ave NW
Suite a
Austin, MN 55912-1888
Mailing address
1301 18TH Ave NW
Suite a
Austin, MN 55912-1888
Phone (507) 437-9770
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8253MO | Other | MN | BLUE CROSS/BLUE SHIELD |
| 121362 | Other | MN | UCARE MINNESOTA |
| 76794MO | Other | MN | BLUE CROSS/BLUE SHIELD |
| 929853300 | Medicaid | MN | |
| 929853300 | Other | MN | METROPOLITAN HEALTH PLAN |
Other names 1
- Public Health Nursing
National Provider Directory
National Provider Directory- Tax ID family
- County of Mower
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Austin, MN
- NPI 1417176660
-
- Case Management Agency
- Austin, MN
- NPI 1003143819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1821095563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 18TH AVE NW",
"address_2": "SUITE A",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559121888",
"telephone_number": "507-437-9770",
"fax_number": "507-434-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 18TH AVE NW",
"address_2": "SUITE A",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559121888",
"telephone_number": "507-437-9770",
"fax_number": "507-434-2695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MOWER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "GUNDERSON",
"authorized_official_first_name": "MARGENE",
"authorized_official_title_or_position": "COMMUNITY HEALTH SERVICES DIRECTOR",
"authorized_official_telephone_number": "507-437-9770",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "328306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "8253MO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MINNESOTA",
"identifier": "121362",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "76794MO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "929853300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPOLITAN HEALTH PLAN",
"identifier": "929853300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Public Health Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.