County of Koochiching

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

251E00000X Issued in MN

Legal business name

COUNTY OF KOOCHICHING

Doing business as

Koochiching County Health Department

Practice address

1000 5TH St
International Falls, MN 56649-2243

Phone

(218) 283-7070

Fax

(218) 283-7050

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Derek Foss

Title

Director

Phone

(218) 283-7000

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Koochiching County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1831192764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492243",
            "telephone_number": "218-283-7070",
            "fax_number": "218-283-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492243",
            "telephone_number": "218-283-7070",
            "fax_number": "218-283-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KOOCHICHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-283-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "730000121",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "127757",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8264KO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE PROV NO.",
            "identifier": "83-00013",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "06G63KO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700855400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE PROVIDER NO",
            "identifier": "59-00164",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koochiching County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koochiching County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of International Falls
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• Dean Christopher Cowman, DC
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• Public Health or Welfare Agency in International Falls, MN
• Providers in International Falls, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.