Provider Demographics
NPI:1518050228
Name:COUNTY OF CHISAGO
Entity Type:Organization
Organization Name:COUNTY OF CHISAGO
Other - Org Name:CHISAGO COUNTY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:651-213-5231
Mailing Address - Street 1:313 N MAIN STREET
Mailing Address - Street 2:RM 240
Mailing Address - City:CENTER CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55012
Mailing Address - Country:US
Mailing Address - Phone:651-213-5639
Mailing Address - Fax:651-213-5685
Practice Address - Street 1:6133 402ND ST
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MN
Practice Address - Zip Code:55056-6097
Practice Address - Country:US
Practice Address - Phone:651-213-5231
Practice Address - Fax:651-213-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8221CHOtherBLUECROSSBLUESHIELD
MN120907OtherUCARE
MN5248OtherHEALTH PARTNERS
MN8300059OtherMEDICA
MN300355800Medicaid
MN300355800Medicaid