Organization Active NPI

Otter Tail County Human Services

  • Private Vehicle
  • Fergus Falls, MN
National Provider Identifier
1841523859
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
OTTER TAIL COUNTY HUMAN SERVICES
Practice address
530 W Fir Ave
Fergus Falls, MN 56537-1364
Phone
(218) 998-8150
Fax
(218) 998-8213
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Leon Anderson
Title
Director of Business Management
Phone
(218) 998-8158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN
Private Vehicle 347C00000X MN Primary

Addresses

Primary practice location

530 W Fir Ave
Fergus Falls, MN 56537-1364

Mailing address

530 W Fir Ave
Fergus Falls, MN 56537-1364
Phone (218) 998-8150

Other identifiers 1

IdentifierTypeStateIssuer
A000056600MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Otter Tail County Human Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

530 W Fir Ave
Fergus Falls, MN 56537
Phone (218) 998-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1841523859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W FIR AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371364",
            "telephone_number": "218-998-8150",
            "fax_number": "218-998-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W FIR AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371364",
            "telephone_number": "218-998-8150",
            "fax_number": "218-998-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTER TAIL COUNTY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS MANAGEMENT",
        "authorized_official_telephone_number": "218-998-8158"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A000056600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.