Provider Demographics
NPI:1558367854
Name:COUNTY OF OLMSTED
Entity Type:Organization
Organization Name:COUNTY OF OLMSTED
Other - Org Name:OLMSTED COUNTY PUBLIC HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-328-7436
Mailing Address - Street 1:2100 CAMPUS DR SE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4722
Mailing Address - Country:US
Mailing Address - Phone:507-328-7500
Mailing Address - Fax:507-328-7501
Practice Address - Street 1:2100 CAMPUS DR SE STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4722
Practice Address - Country:US
Practice Address - Phone:507-328-7500
Practice Address - Fax:507-328-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN327771251E00000X
251K00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN248853100Medicaid
MN248853100Medicaid