MILLE LACS COUNTY
NPI 1104827500
Public Health or Welfare in Milaca, MN

Active since August 09, 2005CLIA Certified · 2 labs
525 2ND ST SE, MILACA, MN 56353(320) 983-8208(320) 983-8306 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Public Health or Welfare
  • CLIA Number: 24D0651644
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-31-2026

About MILLE LACS COUNTY

This page provides the complete NPI Profile along with additional information for Mille Lacs County, a provider established in Milaca, Minnesota operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1104827500 assigned on August 2005. The practitioner's primary taxonomy code is 251K00000X with license number 548753600 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Char Kohlgraf (Mlc Cvs Director)

NPI
1104827500 Verify this NPI
Provider Name
MILLE LACS COUNTY
Other Name Type
(6)
Entity Type
Organization
Location Address
525 2ND ST SE MILACA, MN 56353
Location Phone
(320) 983-8208
Location Fax
(320) 983-8306
Mailing Address
525 2ND ST SE MILACA, MN 56353
Mailing Phone
(320) 983-8318
Mailing Fax
(320) 983-8353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2005
Last Update Date
08-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
548753600
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CHAR KOHLGRAF

Authorized Official Title
MLC CVS DIRECTOR
Authorized Official Phone
(320) 983-8208

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07G89MIOTHER (01)MNBLUE PLUS
125056OTHER (01)MNUCARE
45316OTHER (01)MNHEALTH PARTNERS
8251MIOTHER (01)MNBLUE CROSS BLUE SHIELD
548753600MEDICAID (05)MN 
8302313OTHER (01)MNMEDICA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0651644
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KYANN HAMILTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mille Lacs County to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MILLE LACS COUNTY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
525 2ND ST SE, COURTHOUSE SQ. BLDG. STE #100
MILACA, MN 56353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104827500, enumerated as an "organization" on August 09, 2005.

The provider is located at 525 2ND ST SE MILACA, MN 56353 and the phone number is (320) 983-8208.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.