Hiawatha Valley Mental Health Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Wabasha, MN
NPI 1962659532 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1962659532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 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
- Organization subpart
- No
Authorized official
- Name
- Laurence Connery
- Title
- Board Chairman
- Phone
- (507) 454-4341
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Hiawatha Valley Mental Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708556700 | Medicaid | MN |
Other providers in Wabasha, MN
- Marc J. Hampl
- Luke Carl Helland
- Kurt L Henn
- Tracy A Henn
- Colin Heraty
- Hiawatha Valley Mental Health Center Inc.
- William Allen Hoffmann
- Jennifer J Hust
- John F Hust
- Lisa Mae Jaeger
All providers in Wabasha, 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 Jan 24, 2019. 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.