Provider Demographics
NPI:1306941497
Name:COUNTY OF NICOLLET
Entity type:Organization
Organization Name:COUNTY OF NICOLLET
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH AND HUMAN SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SASSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-934-8573
Mailing Address - Street 1:501 S MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2507
Mailing Address - Country:US
Mailing Address - Phone:507-934-0459
Mailing Address - Fax:507-934-0437
Practice Address - Street 1:622 S FRONT ST
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2106
Practice Address - Country:US
Practice Address - Phone:507-934-8559
Practice Address - Fax:507-934-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN730000022Medicare PIN