Provider Demographics
NPI:1992935522
Name:NOBLES COUNTY
Entity type:Organization
Organization Name:NOBLES COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DYKSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-295-5135
Mailing Address - Street 1:318 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-2382
Mailing Address - Country:US
Mailing Address - Phone:507-295-5213
Mailing Address - Fax:
Practice Address - Street 1:318 9TH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-2382
Practice Address - Country:US
Practice Address - Phone:507-295-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOBLES COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-16
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare