Provider Demographics
NPI:1144609710
Name:RAMSEY COUNTY GOVERNMENT
Entity Type:Organization
Organization Name:RAMSEY COUNTY GOVERNMENT
Other - Org Name:LAKE SOCIAL SERVICE DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE STAFF OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CICHOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-662-7050
Mailing Address - Street 1:524 4TH AVE NE
Mailing Address - Street 2:UNIT 19
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-2490
Mailing Address - Country:US
Mailing Address - Phone:701-662-7050
Mailing Address - Fax:701-662-7095
Practice Address - Street 1:524 4TH AVE NE
Practice Address - Street 2:UNIT 19
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2490
Practice Address - Country:US
Practice Address - Phone:701-662-7050
Practice Address - Fax:701-662-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND38836Medicaid
ND38848Medicaid
ND50746Medicaid
ND50758Medicaid