Provider Demographics
NPI:1831708155
Name:OLMSTED COUNTY
Entity type:Organization
Organization Name:OLMSTED COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BAKKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-328-6460
Mailing Address - Street 1:2117 CAMPUS DR SE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4825
Mailing Address - Country:US
Mailing Address - Phone:507-328-6400
Mailing Address - Fax:507-328-6734
Practice Address - Street 1:2117 CAMPUS DR SE STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4825
Practice Address - Country:US
Practice Address - Phone:507-328-6400
Practice Address - Fax:507-328-6734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management