Provider Demographics
NPI:1952575250
Name:CHIPPEWA COUNTY FAMILY SERVICE
Entity Type:Organization
Organization Name:CHIPPEWA COUNTY FAMILY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUFLAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-269-6401
Mailing Address - Street 1:719 N 7TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEVIDEO
Mailing Address - State:MN
Mailing Address - Zip Code:56265-1370
Mailing Address - Country:US
Mailing Address - Phone:320-269-6401
Mailing Address - Fax:320-269-6405
Practice Address - Street 1:719 N 7TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MONTEVIDEO
Practice Address - State:MN
Practice Address - Zip Code:56265-1370
Practice Address - Country:US
Practice Address - Phone:320-269-6401
Practice Address - Fax:320-269-6405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare