NPIMap

Organization Active NPI

Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wabasha, MN
National Provider Identifier
1962659532
Registry record updated Jan 24, 2019
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
611 Broadway Ave
Suite 100
Wabasha, MN 55981-1988
Phone
(651) 565-2234
NPI assigned
Aug 26, 2008
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Laurence Connery
Title
Board Chairman
Phone
(507) 454-4341

Specialties & licenses 1

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

Addresses

Primary practice location

611 Broadway Ave
Suite 100
Wabasha, MN 55981-1988

Mailing address

420 E Sarnia St
Winona, MN 55987-6365
Phone (507) 454-4341

National Provider Directory

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

Other organizations with this tax ID 6

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

Locations

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1962659532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-454-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY AVE",
            "address_2": "SUITE 100",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811988",
            "telephone_number": "651-565-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA VALLEY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "CONNERY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasha, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.