NPIMap

Organization Active NPI

Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Wing, MN
National Provider Identifier
1215327432
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HIAWATHA VALLEY MENTAL HEALTH CENTER
Practice address
2835 S Service Dr Ste 103
Red Wing, MN 55066-1835
Phone
(507) 454-4341
Fax
(507) 453-6267
NPI assigned
Jan 26, 2015
Organization subpart
Yes
Parent organization
HIAWATHA VALLEY MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erik SieversNPI 1558342519
Title
Executive Director
Phone
(507) 454-4341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2835 S Service Dr Ste 103
Red Wing, MN 55066-1835

Mailing address

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Hiawatha Valley Mental Health Center7 organizations share this tax ID, including this one
Part of
Hiawatha Valley Mental Health Center

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hvmhc/r4/

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1215327432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST STE 2100",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876414",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S SERVICE DR STE 103",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661835",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA VALLEY MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIAWATHA VALLEY MENTAL HEALTH CENTER",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-03-28",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "SIEVERS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-454-4341"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.