Nobles County Jail

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

Legal business name

NOBLES COUNTY JAIL

Practice address

1530 Airport Road
Worthington, MN 56187

Phone

(507) 295-5356

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By 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

Monette J Berkevich

Title

Jail Administrator

Phone

(507) 295-5356

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Nobles County Jail2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nobles County

  dba Nobles County Community Services

  • Public Health or Welfare Agency
  • Worthington, MN
  • NPI 1992935522
  NPD tax ID

Locations

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1912216540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 AIRPORT ROAD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "56187",
            "telephone_number": "507-295-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 AIRPORT ROAD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "56187",
            "telephone_number": "507-295-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLES COUNTY JAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BERKEVICH",
        "authorized_official_first_name": "MONETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "JAIL ADMINISTRATOR",
        "authorized_official_telephone_number": "507-295-5356"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Rodney Nelson, PA-C
• Michael Nikiel, DPT
• No More Brokenness LLC
• Nobles Cooperative Elecrtric
• Nobles County (Nobles County Community Services)
• Nobles Crossroads Holdings LLC (Crossroads Restorative Care Center)
• Nobles South Shore Holdings LLC (South Shore Restorative Care Center)
• Nobles-Rock Community Health Services
• Alyssa Nordell
• Randal H Noyes, DO

• Prison Health Clinic/Center in Worthington, MN
• Providers in Worthington, MN by specialty
• Prison Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.