Provider Demographics
NPI:1962567529
Name:WILKIN COUNTY FAMILY SERVICES
Entity type:Organization
Organization Name:WILKIN COUNTY FAMILY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-643-7161
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:56520
Mailing Address - Country:US
Mailing Address - Phone:218-643-7161
Mailing Address - Fax:218-643-7175
Practice Address - Street 1:227 6TH ST N
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:MN
Practice Address - Zip Code:56520-1503
Practice Address - Country:US
Practice Address - Phone:218-643-7161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF WILKIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN000084100Medicaid
MN205ORWIOtherMN BCBS