Provider Demographics
NPI:1124190640
Name:COUNTY OF ANOKA
Entity Type:Organization
Organization Name:COUNTY OF ANOKA
Other - Org Name:ANOKA COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMUNITY HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONELLE
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-324-4200
Mailing Address - Street 1:3100 THIRD AVENUE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303
Mailing Address - Country:US
Mailing Address - Phone:763-324-4200
Mailing Address - Fax:763-324-1033
Practice Address - Street 1:3100 THIRD AVENUE
Practice Address - Street 2:SUITE 600
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:763-324-4200
Practice Address - Fax:763-324-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3095OtherMHP
MN54P50ANOtherBLUE CROSS BLUE SHEILD
MN2837OtherHEALTHPARTNERS
MN3788577OtherAETNA
MN106850OtherUCARE
MN8300102OtherMEDICA
MN139353700Medicaid