Provider Demographics
NPI:1760489769
Name:CASS COUNTY MN
Entity Type:Organization
Organization Name:CASS COUNTY MN
Other - Org Name:CASS COUNTY SOCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASS COUNTY DIRECTOR OF HEALTH, HUM
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPRUDE
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:218-547-6863
Mailing Address - Street 1:400 MICHIGAN AVE.
Mailing Address - Street 2:PO BOX 519
Mailing Address - City:WALKER
Mailing Address - State:MN
Mailing Address - Zip Code:56484
Mailing Address - Country:US
Mailing Address - Phone:218-547-1340
Mailing Address - Fax:218-547-1448
Practice Address - Street 1:400 MICHIGAN AVE.
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MN
Practice Address - Zip Code:56484
Practice Address - Country:US
Practice Address - Phone:218-547-1340
Practice Address - Fax:218-547-1448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN000011600Medicaid