| South Central Human Relations Center | |
|
610 Florence Ave Owatonna MN 55060-4704 | |
| (507) 451-2630 | |
| (507) 455-8133 |
| Full Name | South Central Human Relations Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 Florence Ave, Owatonna, Minnesota |
| Authorized Official Name and Position | Michele M Merxbauer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5074512630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Human Relations Center 610 Florence Ave Owatonna MN 55060-4704 Ph: (507) 451-2630 | South Central Human Relations Center 610 Florence Ave Owatonna MN 55060-4704 Ph: (507) 451-2630 |
| NPI Number | 1063437564 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 02/16/2023 |
| Certification Date | 08/20/2020 |
| Medicare PECOS PAC ID | 8527065515 |
|---|---|
| Medicare Enrollment ID | O20061220000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063437564 | NPI | - | NPPES |
| 205055200 | Medicaid | MN | |
| 23107 | Other | MN | STATE ID# |
| 116875 | Other | MN | UCARE ID# |
| 9016593 | Other | MN | MN TAX ID # |
| 35145HU | Other | MN | BLUE CROSS BLUE SHIELD# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 802265-1-MHC (Minnesota) | Primary |
| Provider Name | Joseph R Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922119502 PECOS PAC ID: 7719905843 Enrollment ID: I20051108000321 |
| Provider Name | Mary L Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295824696 PECOS PAC ID: 2668445628 Enrollment ID: I20061227000299 |
| Provider Name | Scott J Westbrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154657765 PECOS PAC ID: 4183763857 Enrollment ID: I20091209000616 |
| Provider Name | Beth A Kolander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326288267 PECOS PAC ID: 4284891102 Enrollment ID: I20120206000147 |
| Provider Name | Colleen E Solberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134428667 PECOS PAC ID: 0547414302 Enrollment ID: I20130201000038 |
| Provider Name | Jeanne Allen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417938242 PECOS PAC ID: 6709938095 Enrollment ID: I20150603002025 |
| Provider Name | Amy Amley Bartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740660844 PECOS PAC ID: 0840502977 Enrollment ID: I20150702001137 |
| Provider Name | Amy Louise Haycraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194017624 PECOS PAC ID: 4981882917 Enrollment ID: I20160203000161 |
| Provider Name | Renee Anastasia Lips-bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205289907 PECOS PAC ID: 0547555237 Enrollment ID: I20160819000344 |
| Provider Name | Deanna Leigh Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500275 PECOS PAC ID: 6800122326 Enrollment ID: I20190722002368 |
| Provider Name | Lorraine Vivian Njos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316273584 PECOS PAC ID: 1456646785 Enrollment ID: I20200630000942 |
| Provider Name | Leah Ann Soland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821673898 PECOS PAC ID: 5597173435 Enrollment ID: I20210414001755 |
| Provider Name | Ellen Demars |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962074328 PECOS PAC ID: 0648668061 Enrollment ID: I20211103002208 |
| Provider Name | Claudia Cuervo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184988958 PECOS PAC ID: 4082852926 Enrollment ID: I20211116001526 |
| Provider Name | Deanna Renee Ripka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427705243 PECOS PAC ID: 4587050356 Enrollment ID: I20220404000822 |
| Provider Name | Stephanie Lynn Voegele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760171177 PECOS PAC ID: 4082073481 Enrollment ID: I20230703001571 |
| Provider Name | Jennifer Lynn Elwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851078851 PECOS PAC ID: 1052775830 Enrollment ID: I20230912003356 |
| Provider Name | Kylie Jo Schwering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407629850 PECOS PAC ID: 7810345725 Enrollment ID: I20231201002216 |
| Provider Name | Diana Moraa Buruchara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760252423 PECOS PAC ID: 4082050117 Enrollment ID: I20240312002741 |
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