Full Name | |
---|---|
Speciality | Social Worker - Clinical |
Location | 506 W 5th St, Winona, Minnesota |
Authorized Official Name and Position | Gary M Flynn (OWNER) |
Authorized Official Contact | 5074543880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 323 Winona MN 55987-0323 Ph: (507) 454-3880 | 506 W 5th St Winona MN 55987-5233 Ph: (507) 454-3880 |
NPI Number | 1760541429 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760541429 | NPI | - | NPPES |
30472CO | Other | MN | BCBS ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
River City Psychiatric Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 902 E 2nd St Ste 113, Winona, MN 55987 Phone: 507-208-7629 Fax: 507-607-8671 | |
Hiawatha Valley Mental Health Center Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 E Sarnia St Ste 2100, Winona, MN 55987 Phone: 507-454-4341 Fax: 507-453-6267 |