CLAY COUNTY (NPI# 1114142569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114142569 |
| Entity Type | Organization |
| Organization Name | CLAY COUNTY |
| Other Organization Name | CLAY COUNTY PUBLIC HEALTH |
| Practice Address |
715 11th St N Ste 303 Moorhead MN 56560-2083 |
| Mailing Address |
715 11th St N Ste 303 Moorhead MN 56560-2083 |
| Practice Telephone | 2182997301 |
| Practice Fax Number | 2182995795 |
| Mailing Telephone | 2182997301 |
| Mailing Fax Number | 2182995195 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | LORI J JOHNSON (CLAY COUNTY AUDITOR) |
| Authorized Official Telephone | 2182995262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 427753800 | 05 | |
| MN | MEDICA PMAP PROVIDER | 8300104 | 01 |
| MN | MEDICA UBH PROVIDER | 5060753 | 01 |
| MN | BLUE PLUS PROVIDER ID | 8G510CL | 01 |
| MN | BLUE PLUS DETOX PROVIDER | 4C45CL | 01 |
| Other Name | Type Code |
|---|---|
| Clay County Public Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871615526 | Clay County | Local Education Agency (LEA) | 121 2nd Ave N, Ashland, AL 36251 | 2007-04-04 |
| 1063459907 | Clay County | Ambulance | 41 Courthouse Dr, Hayesville, NC 28904-4966 | 2006-05-31 |
| 1033269246 | Clay County | Public Health or Welfare | 300 W 4th St, Suite 6, Spencer, IA 51301-3806 | 2007-01-11 |
| 1033293030 | Clay County | Clinic/Center | 345 Courthouse Dr, Hayesville, NC 28904-0020 | 2006-10-25 |
| 1629159884 | Clay County | Case Management | 345 Courthouse Dr, Hayesville, NC 28904-0020 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLAY COUNTY ABSTRACT & TITLE COMPANY INC | 121 W Kidder St Ste 104, Vermillion, SD 57069-3010 |
| Iowa Business Entities | CLAY COUNTY ABSTRACT, LLC | 110 West 4th St., Spencer, IA 51301 |
| System for Award Management (SAM) Entities | CLAY COUNTY ASSESSOR | 609 E National Ave Ste 118, Brazil, IN 47834-2659 |
| System for Award Management (SAM) Entities | CLAY COUNTY BOARD OF EDUCATION | 520 Brown St, Celina, TN 38551-4015 |
| System for Award Management (SAM) Entities | CLAY COUNTY BUSINESS DEVELOPMENT AUTHORITY | 300 Ctr St, Clay, WV 25043-9714 |
| Iowa Business Entities | CLAY COUNTY CATTLEMENS ASSOCIATION | Po Box 1066, Spencer, IA 51301 |
| Iowa Business Entities | CLAY COUNTY CITIZEN'S AWARENESS COUNCIL, INCORPORATED | Po Box 663, Spencer, IA 51360 |
| System for Award Management (SAM) Entities | CLAY COUNTY CLERK'S OFFICE | 712 5th St Ste 102, Clay Center, KS 67432-2913 |
| Iowa Business Entities | CLAY COUNTY CLUBS LLC | 2590 350th St., Spencer, IA 51301 |
| System for Award Management (SAM) Entities | CLAY COUNTY COMMISSION | 41771 Highway 77 Ste 1, Ashland, AL 36251-4636 |
| Street Address |
715 11TH ST N STE 303 |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801965967 | Family Health Care Center | Clinic/Center | 715 11th St N, Suite 106b, Moorhead, MN 56560-2083 | 2006-11-06 |
| 1063865533 | Kassondra Henschel | Marriage & Family Therapist | 715 11th St N, Ste 401, Moorhead, MN 56560-2083 | 2016-07-19 |
| 1750650313 | Nathan Richman | Counselor | 715 11th St N, Suite 204, Moorhead, MN 56560-2083 | 2011-12-27 |
| 1225221682 | Lutheran Social Service of Minnesota | Case Management | 715 11th St N, Moorhead, MN 56560-2083 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359827 | Sarah Jean Riedel | Registered Nurse | 631 Jefferson St N, Wadena, MN 56482-2336 | 2018-09-13 |
| 1770062028 | Laura Patricia Stefanski | Registered Nurse | 10910 Kentucky Ave N, Champlin, MN 55316-3822 | 2018-08-08 |
| 1104276070 | Khadra Mohamed | Registered Nurse | 515 15th Ave S, Apt 251, Minneapolis, MN 55454-1588 | 2016-06-21 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1487099933 | Diane Boyenga | Registered Nurse | 2 Roundwind Rd, Luverne, MN 56156-1300 | 2013-05-09 |
| 1780924811 | Lindsay Prescott | Registered Nurse | 308 S Dekalb St, Redwood Falls, MN 56283-1915 | 2013-02-27 |
| 1952654857 | Annmarie J Suess | Registered Nurse | 105 S 5th St Ste 119h, Olivia, MN 56277-1375 | 2012-10-17 |
| 1659646958 | Diane Shepherd | Registered Nurse | 115 Sixth St. Nw, Suite E, Cass Lake, MN 56601-3061 | 2012-03-20 |
| 1558691238 | Vicki Lynn Roff | Registered Nurse | 6248 Balsam Rd Nw, Bemidji, MN 56601-7728 | 2010-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.