Provider Demographics
NPI:1912085374
Name:COUNTY OF MEEKER
Entity Type:Organization
Organization Name:COUNTY OF MEEKER
Other - Org Name:MEEKER COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:320-693-5370
Mailing Address - Street 1:114 N HOLCOMBE AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355
Mailing Address - Country:US
Mailing Address - Phone:320-693-5370
Mailing Address - Fax:320-693-5399
Practice Address - Street 1:114 N HOLCOMBE AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355
Practice Address - Country:US
Practice Address - Phone:320-693-5370
Practice Address - Fax:320-693-5399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-03-16
Deactivation Date:2021-12-29
Deactivation Code:
Reactivation Date:2022-03-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN960255100Medicaid
MN8G531MEOtherBLUE CROSS BLUE SHIELD
MN02411374302OtherPRIMEWEST PREPAID HLTHPLN
MN115744OtherU-CARE
MN8300084OtherMEDICA