Provider Demographics
NPI:1003045238
Name:KANDIYOHI COUNTY
Entity Type:Organization
Organization Name:KANDIYOHI COUNTY
Other - Org Name:KANDIYOHI COUNTY FAMILY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-231-7800
Mailing Address - Street 1:2200 23RD ST NE
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-6611
Mailing Address - Country:US
Mailing Address - Phone:320-231-7800
Mailing Address - Fax:320-231-6285
Practice Address - Street 1:2200 23RD ST NE
Practice Address - Street 2:SUITE 1020
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-6611
Practice Address - Country:US
Practice Address - Phone:320-231-7800
Practice Address - Fax:320-231-6285
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KANDIYOHI COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-09
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
MN251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management