Provider Demographics
NPI:1851396402
Name:COUNTY OF TODD
Entity Type:Organization
Organization Name:COUNTY OF TODD
Other - Org Name:TODD COUNTY HHS-PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:OCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:320-732-4500
Mailing Address - Street 1:212 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-1608
Mailing Address - Country:US
Mailing Address - Phone:320-732-4500
Mailing Address - Fax:320-732-4445
Practice Address - Street 1:212 2ND AVE S
Practice Address - Street 2:
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-1608
Practice Address - Country:US
Practice Address - Phone:320-732-4500
Practice Address - Fax:320-732-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN326500251E00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN187669OtherMAYOMANAGEMENT SERVICES
MN231861034754OtherPREFERREDONE 837P
MN5900161OtherMEDICA 837P PROVIDER NUMB
MN1021805OtherPREFERREDONE 837I PROVIDE
MN116159OtherUCARE PROVIDER NUMBER
MN8294TOOtherBLUE CROSS PROVIDER NUMBE
MN8302311OtherMEDICA 837I PROVIDER NUMB
MN23G18TOOtherBLUE SHIELD PROVIDER NUM
MN690255300Medicaid
MN23G18TOOtherBLUE SHIELD PROVIDER NUM