SOUTH CENTRAL CRISIS CENTER NPI 1164627022

NPI Information

NPI: 1164627022
Provider Name: SOUTH CENTRAL CRISIS CENTER
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Doing Business As: ST. PETER REGIONAL TREATMENT CENTER
Address: 521 PFAU ST
MANKATO, MN
ZIP 56001
Phone: (507) 389-6872

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NPI Details

SOUTH CENTRAL CRISIS CENTER is a community based residential treatment facility mental illness in Mankato, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOUTH CENTRAL CRISIS CENTER NPI is 1164627022. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Peter Regional Treatment Center.

The provider's business location address is:

521 PFAU ST
MANKATO, MN
ZIP 56001-032
Phone: (507) 389-6872

The provider's authorized official is Rod L Kornrumpf .
The authorized official title is Mental Health Admin Officer and has the following contact phone number (763) 712-4010.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 6/18/2008.

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				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	647618100	MEDICAID	MINNESOTA
2	467058206	MEDICAID	MINNESOTA

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: 11/21/2025

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