South Central Human Relations Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Owatonna, MN
NPI 1063437564 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1063437564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 802265-1-MHC (MN)
- Legal business name
- SOUTH CENTRAL HUMAN RELATIONS CENTER
- Practice address
- 610 Florence Ave
Owatonna, MN 55060-4704 - Phone
- (507) 451-2630
- Fax
- (507) 455-8133
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Michele M Merxbauer
- Title
- Executive Director
- Phone
- (507) 451-2630
Practitioners 8
-
Sara Loose, LICSW
-
Kari M Jacott, LPCC
-
Reba F King, MD
-
Marybeth L O Neil, CNS
-
Fowzia Osman, NP
-
Glenda Mae Vian, LICSW
-
Mary Margaret Hennessy, M.D.
-
Joline Wudtke, PMHNP
National Provider Directory
Locations
610 Florence Ave
Owatonna, MN 55060
Phone (507) 451-2630
204 2nd St NW
Waseca, MN 56093
Phone (507) 835-7064
Interoperability endpoints
- luanns@direct.schrc.com
- https://api.qualifacts.org/api/fhir/schrc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 802265-1-MHC | MN | Yes |
Addresses
Primary practice location
610 Florence Ave
Owatonna, MN 55060-4704
Mailing address
610 Florence Ave
Owatonna, MN 55060-4704
Phone (507) 451-2630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205055200 | Medicaid | MN | |
| 23107 | Other | MN | STATE ID# |
| 116875 | Other | MN | UCARE ID# |
| 9016593 | Other | MN | MN TAX ID # |
| 35145HU | Other | MN | BLUE CROSS BLUE SHIELD# |
Other providers in Owatonna, MN
- Thomas M Smith
- Ann E Sneiders
- Leah Soland
- Colleen Elaine Solberg
- Michelle Sorensen
- South Central Human Relations Center
- South Central Human Relations Center
- South Central Human Relations Center
- South Central Human Relations Center
- Southern Minnesota Sleep Center, PLLC
All providers in Owatonna, MN · Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.