POLK-NORMAN-MAHNOMEN COMMUNITY HEALTH BOARD
NPI 1427392455
Public Health or Welfare in Crookston, MN

Q: What is Polk-Norman-Mahnomen Community Health Board's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Active since November 15, 2012CLIA 24D2253563 · Waiver

816 MARIN AVE STE 125, CROOKSTON, MN 56716(218) 281-3385(218) 281-7376 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Polk-norman-mahnomen Community Health Board NPPES

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

POLK-NORMAN-MAHNOMEN COMMUNITY HEALTH BOARD (NPI 1427392455) is a healthcare organization registered as a public health or welfare in Crookston, Minnesota and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Sarah Keller-reese, Lead Agent, as its authorized official.

NPPES Registry Identity

NPI1427392455

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NamePOLK-NORMAN-MAHNOMEN COMMUNITY HEALTH BOARD

Location Address816 MARIN AVE STE 125Crookston, MN 56716-2148

Mailing Address816 Marin Ave Ste 125Crookston, MN 56716-2148 · (218) 281-3385 · Fax (218) 281-7376

Phone(218) 281-3385

Fax(218) 281-7376

Organization SubpartNo

Authorized OfficialSarah Keller-reeseLead Agent · (218) 281-3385

Enumeration DateNovember 15, 2012

Last NPPES UpdateApril 24, 2020

NPPES CertifiedApril 24, 2020

✔ NPI 1427392455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

816 MARIN AVE STE 125, Crookston, MN 56716

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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 24D2253563

Polk-Norman-Mahnomen Community Health Board · Crookston, MN

Active · expires Feb 22, 2028

CLIA Number24D2253563

Laboratory TypePublic Health Laboratories

Certificate Effective DateFebruary 23, 2026

Certificate Expiration DateFebruary 22, 2028

Laboratory DirectorSarah L. Reese

Laboratory Phone(218) 521-7779

Laboratory LocationPolk-Norman-Mahnomen Community Health Board816 Marin Ave Ste 125, Crookston, MN 56716

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KELSEY SUSAN HELGESON MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

816 MARIN AVE STE 125
CROOKSTON, MN 56716

Polk County (218) 416-4413

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 Polk-Norman-Mahnomen Community Health Board's NPI number?

The NPI number for Polk-Norman-Mahnomen Community Health Board is 1427392455. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Polk-Norman-Mahnomen Community Health Board located?

Polk-Norman-Mahnomen Community Health Board is located at 816 Marin Ave Ste 125, Crookston, MN 56716. The listed phone number is (218) 281-3385.

What is Polk-Norman-Mahnomen Community Health Board's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Polk-Norman-Mahnomen Community Health Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2253563) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polk-Norman-Mahnomen Community Health Board was last updated on April 24, 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.