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601 Franklin St Winona MN 55987-3822 | |
| (507) 453-9563 | |
| (507) 453-9562 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| 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 St La Crosse WI 54601-4200 Ph: (608) 785-0001 | 601 Franklin St Winona MN 55987-3822 Ph: (507) 453-9563 |
| NPI Number | 1023290772 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023290772 | NPI | - | NPPES |
| 163907000 | Other | MN | MAGELLAN |
| 493938706 | Medicaid | MN | |
| 328L0FA | Other | MN | BCBS-MN |
| 1388465J602 | Other | MN | UCARE |
| HPFIN77035 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (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 |