Provider Demographics
NPI:1265439715
Name:HOUSTON COUNTY AUDITOR
Entity type:Organization
Organization Name:HOUSTON COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:507-725-5810
Mailing Address - Street 1:611 VISTA DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CALEDONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55921
Mailing Address - Country:US
Mailing Address - Phone:507-725-5810
Mailing Address - Fax:507-725-2150
Practice Address - Street 1:611 VISTA DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CALEDONIA
Practice Address - State:MN
Practice Address - Zip Code:55921
Practice Address - Country:US
Practice Address - Phone:507-725-5810
Practice Address - Fax:507-725-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN380476251E00000X
MN351961251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN790555600Medicaid
247074Medicare Oscar/Certification