Stevens Traverse Grant Public Health

Organization Active NPI Public Health or Welfare Agency · Morris, MN

NPI 1962473710 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1962473710
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
License
328493 (MN)
Legal business name
STEVENS TRAVERSE GRANT PUBLIC HEALTH
Practice address
621 Pacific Avenue
Morris, MN 56267
Phone
(320) 589-7425
Fax
(320) 589-7433
NPI assigned
Jan 30, 2006
Organization subpart
No

Authorized official

Name
Ms. Betty Windom-Kirsch, RN PHN DIRECTOR
Title
Director
Phone
(320) 589-7425

Corporate family (same tax ID) 2

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Stevens County Ambulance (3 organizations share this tax ID)

Locations

621 Pacific Ave
Morris, MN 56267
Phone (320) 589-7425

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 328493 MN Yes

Addresses

Primary practice location

621 Pacific Avenue
Morris, MN 56267

Mailing address

621 Pacific Avenue
Morris, MN 56267
Phone (320) 589-7425

Other identifiers

IdentifierTypeStateIssuer
12745401OtherU CARE INSURANCE
144J9STOtherBCBS DME
8300111OtherMEDICA INSURANCE
8G534STOtherBCBS INSURANCE
01017242OtherPREFERRED ONE INSURANCE

Other providers in Morris, MN

All providers in Morris, MN · Public Health or Welfare Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.