Provider Demographics
NPI:1144302282
Name:COUNTY OF BROWN
Entity type:Organization
Organization Name:COUNTY OF BROWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:507-233-6820
Mailing Address - Street 1:1117 CENTER ST
Mailing Address - Street 2:PO BOX 543
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3255
Mailing Address - Country:US
Mailing Address - Phone:507-233-6820
Mailing Address - Fax:507-233-6819
Practice Address - Street 1:1117 CENTER ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3255
Practice Address - Country:US
Practice Address - Phone:507-233-6820
Practice Address - Fax:507-233-6819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8243BROtherBLUE CROSS / BLUE SHIELD
MN06G54BROtherBLUE PLUS MN
MN219354000Medicaid
MN06G54BROtherBLUE PLUS MN
MN8243BROtherBLUE CROSS / BLUE SHIELD