| |
601 Franklin St Winona MN 55987-3822 | |
(507) 453-9563 | |
(507) 453-9562 |
Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 601 Franklin St, Winona, Minnesota |
Authorized Official Name and Position | Mike Boehm (CEO, PRESIDENT) |
Authorized Official Contact | 6087850001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1707 Main Street La Crosse WI 54601-4200 Ph: (608) 785-0001 | 601 Franklin St Winona MN 55987-3822 Ph: (507) 453-9563 |
NPI Number | 1326177940 |
---|---|
Provider Enumeration Date | 03/02/2007 |
Last Update Date | 12/06/2023 |
Certification Date | 12/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326177940 | NPI | - | NPPES |
328L0FA | Other | MN | BCBS-MN |
710395600 | Medicaid | MN | |
125604 | Other | MN | UCARE |
HPFIN77035 | Other | MN | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (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 |