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MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR NPI 1194014134


NPI Information

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
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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 Kimmerly Cardinal .
The authorized official title is Accounts Receivable Supervisor and has the following contact phone number (651) 431-3693.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 11/9/2023.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness1058767-1-RMIMINNESOTAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.