COUNTY OF FILLMORE NPI 1497722318

NPI Details

COUNTY OF FILLMORE is a public health or welfare in Preston, MN. COUNTY OF FILLMORE NPI is 1497722318. The provider is registered as an organization entity type.
The provider Is Doing Business As Fillmore County Public Health.

The provider's business location address is:

902 HOUSTON ST NW
PRESTON, MN
ZIP 55965
Phone: (507) 765-3898
Fax: (507) 765-2139

The provider's authorized official is Jessica Mae Erickson .
The authorized official title is Don and has the following contact phone number (507) 765-2647.

The CLIA number assigned to this NPI record is 24D0651514 - public health laboratories with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
• Coronavirus vaccine 13 (HCPCS:91312)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)

The enumeration date for this NPI number is 3/1/2006 and was last updated on 3/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.