Provider Demographics
NPI:1881823243
Name:YELLOW MEDICINE COUNTY FAMILY SERVICES
Entity Type:Organization
Organization Name:YELLOW MEDICINE COUNTY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNELL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SUNDERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-564-2211
Mailing Address - Street 1:930 4TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56241-1463
Mailing Address - Country:US
Mailing Address - Phone:320-564-2211
Mailing Address - Fax:320-564-4165
Practice Address - Street 1:930 4TH ST STE 4
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56241-1463
Practice Address - Country:US
Practice Address - Phone:320-564-2211
Practice Address - Fax:320-564-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management