OLMSTED COUNTY
NPI 1053567495
Community/Behavioral Health in Rochester, MN

Active since August 18, 2008CLIA 24D2214422 · Waiver
2117 CAMPUS DR SE STE 200, ROCHESTER, MN 55904(507) 328-6400 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2020, Feb 2, 2016 (2 updates tracked since 2016).

About Olmsted County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLMSTED COUNTY (NPI 1053567495) is a healthcare organization registered as a community/behavioral health in Rochester, Minnesota and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Suzann Marie Bakken, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1053567495
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOLMSTED COUNTY
Location Address2117 CAMPUS DR SE STE 200Rochester, MN 55904-4825
Mailing Address2117 Campus Dr. Se, Ste 200Rochester, MN 55904 · (507) 328-6400
Organization SubpartNo
Authorized OfficialSuzann Marie BakkenAssistant Controller · (507) 328-6460
Enumeration DateAugust 18, 2008
Last NPPES UpdateJune 26, 20202 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1053567495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
2117 CAMPUS DR SE STE 200, Rochester, MN 55904

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2214422

Olmsted County Adult Detention Center · Rochester, MN
Active · expires Feb 22, 2027
CLIA Number24D2214422
Laboratory TypePrison
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorMacey A. Tesmer
Laboratory Phone(507) 328-6790
Laboratory LocationOlmsted County Adult Detention Center101 4th St SE, Rochester, MN 55904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904
Social Worker (Clinical)
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904
Case Management
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904
Community/Behavioral Health
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904
Private Vehicle
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904
Social Worker (Clinical)
2117 CAMPUS DR SE STE 200
ROCHESTER, MN 55904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olmsted County's NPI number?

The NPI number for Olmsted County is 1053567495. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Olmsted County located?

Olmsted County is located at 2117 Campus Dr SE Ste 200, Rochester, MN 55904. The listed phone number is (507) 328-6400.

What is Olmsted County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Olmsted County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2214422) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olmsted County was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.