Provider Demographics
NPI:1316942774
Name:LE SUEUR COUNTY
Entity type:Organization
Organization Name:LE SUEUR COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:507-357-8247
Mailing Address - Street 1:88 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LE CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:56057-1600
Mailing Address - Country:US
Mailing Address - Phone:507-357-8246
Mailing Address - Fax:507-357-4223
Practice Address - Street 1:130 S PARK AVE
Practice Address - Street 2:
Practice Address - City:LE CENTER
Practice Address - State:MN
Practice Address - Zip Code:56057-1622
Practice Address - Country:US
Practice Address - Phone:507-357-8246
Practice Address - Fax:507-357-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MN328150251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN84639OtherHEALTH PARTNERS
MN115945OtherUCARE PROVIDER NUMBER
MN118753800Medicaid
MN8204 LEOtherBCBS PROVIDER NUMBER
MN115945OtherUCARE PROVIDER NUMBER