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MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR NPI 1194014134

NPI Profile

NPI: 1194014134

Provider Name: MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X

Entity Type: Organization

Address:
1208 OLENA AVE
WILLMAR, MN
ZIP 56201

Phone: (651) 431-3676

MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR is a community based residential treatment facility, mental illness in Willmar, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR NPI is 1194014134. The provider is registered as an organization entity type.

The provider's business location address is:

1208 OLENA AVE
WILLMAR, MN
ZIP 56201-766
Phone: (651) 431-3676
Fax: (651) 431-7505

The provider's authorized official is Lori A Zook .
The authorized official title is Controller and has the following contact phone number (651) 431-3691.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 3/30/2011.

Map - Location of Practice

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 320800000X Community Based Residential Treatment Facility, Mental Illness 1058767-1-RMI MINNESOTA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015