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CLAY COUNTY PUBLIC HEALTH
NPI 1114142569
Registered Nurse - Community Health in Moorhead, MN

Active since April 13, 2007CLIA Certified · 2 labs
715 11TH ST N, STE 303, MOORHEAD, MN 56560(218) 299-7301(218) 299-5795 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clay County Public Health NPPES

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

CLAY COUNTY PUBLIC HEALTH (NPI 1114142569) is a healthcare organization registered as a community health in Moorhead, Minnesota and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Lori J Johnson, Clay County Auditor, as its authorized official.

NPPES Registry Identity

NPI1114142569
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NameCLAY COUNTY
Location Address715 11TH ST N, STE 303Moorhead, MN 56560-2083
Mailing Address715 11th St N Ste 303Moorhead, MN 56560-2083 · (218) 299-7301 · Fax (218) 299-5195
Phone(218) 299-7301
Fax(218) 299-5795
Organization SubpartNo
Authorized OfficialLori J JohnsonClay County Auditor · (218) 299-5262
Enumeration DateApril 13, 2007
Last NPPES UpdateJanuary 3, 2020
✔ NPI 1114142569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
715 11TH ST N, Moorhead, MN 56560
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Other Names 1

Doing Business AsClay County Public Health

Other Identifiers 5

Medicaid427753800MN
Other8300104MN · Medica Pmap Provider
Other5060753MN · Medica Ubh Provider
Other8G510CLMN · Blue Plus Provider Id
Other4C45CLMN · Blue Plus Detox Provider

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 24D0406435

Clay County Public Health · Moorhead, MN
Active · expires Jun 13, 2028
CLIA Number24D0406435
Laboratory TypePublic Health
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorJessica Mickelson
Laboratory Phone(218) 299-5220
Laboratory LocationClay County Public Health715 North 11th Street Suite 105, Moorhead, MN 56560
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2221677

Clay County Jail · Moorhead, MN
Active · expires Apr 22, 2027
CLIA Number24D2221677
Laboratory TypeCounty Jail
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorSamantha Hoppe
Laboratory Phone(218) 299-5237
Laboratory LocationClay County Jail800 9th St N, Moorhead, MN 56560
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Other Providers at the Same Location NPPES 4

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

KASSONDRA HENSCHEL MS, LMFT
Marriage & Family Therapist
715 11TH ST N, STE 401
MOORHEAD, MN 56560
Clay County (218) 236-1494
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Case Management
715 11TH ST N
MOORHEAD, MN 56560
Clay County (218) 236-1494
NATHAN RICHMAN LADC
Counselor (Addiction (Substance Use Disorder))
715 11TH ST N, SUITE 204
MOORHEAD, MN 56560
Clay County (218) 233-6398
FAMILY HEALTH CARE CENTER
Clinic/Center (Dental)
715 11TH ST N, SUITE 106B
MOORHEAD, MN 56560
Clay County (701) 239-7111

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 Clay County's NPI number?

The NPI number for Clay County is 1114142569. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Clay County Public Health.

Where is Clay County located?

Clay County is located at 715 11th St N Ste 303, Moorhead, MN 56560. The listed phone number is (218) 299-7301.

What is Clay County's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Does Clay County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Clay County accept?

Health plans from Medica list Clay County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clay County was last updated on January 3, 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.