Provider Demographics
NPI:1376773291
Name:COUNTY OF BLUE EARTH
Entity Type:Organization
Organization Name:COUNTY OF BLUE EARTH
Other - Org Name:BLUE EARTH COUNTY HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:HUMAN SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-304-4370
Mailing Address - Street 1:410 S. FIFTH ST.
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56002-3526
Mailing Address - Country:US
Mailing Address - Phone:507-304-4319
Mailing Address - Fax:507-304-4387
Practice Address - Street 1:410 S. FIFTH ST.
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001
Practice Address - Country:US
Practice Address - Phone:507-304-4319
Practice Address - Fax:507-304-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8026343251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA000007800Medicaid