| Kittson County | |
|
410 S 5th St Suite 104 Hallock MN 56728-4140 | |
| (218) 843-2113 | |
| (218) 843-2020 |
| Full Name | Kittson County |
|---|---|
| Speciality | Social Worker |
| Location | 410 S 5th St, Hallock, Minnesota |
| Authorized Official Name and Position | Gary Lee Rice (HIPAA COORDINATOR) |
| Authorized Official Contact | 2188432113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kittson County 410 S. 5th St. Suite 104 Hallock MN 56735-0104 Ph: (218) 843-2113 | Kittson County 410 S 5th St Suite 104 Hallock MN 56728-4140 Ph: (218) 843-2113 |
| NPI Number | 1477684041 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477684041 | NPI | - | NPPES |
| 123189 | Other | MN | UCARE MINNESOTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |