1407489651 NPI number — WOODLAND CENTERS

Table of content: (NPI 1407489651)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407489651 NPI number — WOODLAND CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOODLAND CENTERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407489651
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1125 6TH ST SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILLMAR
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56201-4675
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-235-4613
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 MILKYWAY ST S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COSMOS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56228-7726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-877-7220
Provider Business Practice Location Address Fax Number:
320-877-7479
Provider Enumeration Date:
02/17/2020

Additional Information

Authorized Official

Authorized Official Last Name:
KJOS
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
320-235-4613

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 854855205 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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