Marshall County Social Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MARSHALL COUNTY SOCIAL SERVICES

Practice address

208 E Colvin Ave.
Suite 14
Warren, MN 56762

Phone

(218) 745-5124

Fax

(218) 745-5260

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Radeke

Title

Fiscal Supervisor

Phone

(218) 745-5124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1881820322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E COLVIN AVE.",
            "address_2": "SUITE 14",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "56762",
            "telephone_number": "218-745-5124",
            "fax_number": "218-745-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E COLVIN AVE.",
            "address_2": "SUITE 14",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "56762",
            "telephone_number": "218-745-5124",
            "fax_number": "218-745-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "RADEKE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "FISCAL SUPERVISOR",
        "authorized_official_telephone_number": "218-745-5124"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.