1629190129 NPI number — SOUTHWESTERN MINNESOTA ADULT MENTAL HEALTH CONSORTIUM

Table of content: (NPI 1629190129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629190129 NPI number — SOUTHWESTERN MINNESOTA ADULT MENTAL HEALTH CONSORTIUM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHWESTERN MINNESOTA ADULT MENTAL HEALTH CONSORTIUM
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:
6
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:
1629190129
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 23RD ST NE
Provider Second Line Business Mailing Address:
SUITE 2050
Provider Business Mailing Address City Name:
WILLMAR
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56201-6600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-441-6340
Provider Business Mailing Address Fax Number:
320-441-6349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
909 4TH AVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
WORTHINGTON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56187-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-372-2155
Provider Business Practice Location Address Fax Number:
507-372-2179
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCALLISTER
Authorized Official First Name:
LEE
Authorized Official Middle Name:
Authorized Official Title or Position:
BOARD CHAIR
Authorized Official Telephone Number:
507-372-2157

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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