Provider Demographics
NPI:1811040769
Name:COUNTY OF BLUE EARTH
Entity Type:Organization
Organization Name:COUNTY OF BLUE EARTH
Other - Org Name:BLUE EARTH CO HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:HUMAN SERVICES DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-304-4370
Mailing Address - Street 1:410 S 5TH ST
Mailing Address - Street 2:PO BOX 3526
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4588
Mailing Address - Country:US
Mailing Address - Phone:507-304-4370
Mailing Address - Fax:507-304-4379
Practice Address - Street 1:410 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56002-3526
Practice Address - Country:US
Practice Address - Phone:507-304-4370
Practice Address - Fax:507-304-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN60D12BLOtherBLUE CROSS BLUE SHIELD MN
MN114826F934OtherUCARE MN
MN760055100Medicaid