Provider Demographics
NPI:1508118407
Name:RICE COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:RICE COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTHALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-332-6242
Mailing Address - Street 1:320 3RD ST NW
Mailing Address - Street 2:PO BOX 718
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-5195
Mailing Address - Country:US
Mailing Address - Phone:507-332-6115
Mailing Address - Fax:507-332-6247
Practice Address - Street 1:128 8TH AVE NW
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5067
Practice Address - Country:US
Practice Address - Phone:507-333-6480
Practice Address - Fax:507-333-6484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICE COUNTY SOCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health