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855 Mankato Ave Winona MN 55987-4868 | |
| (507) 457-4321 | |
| (507) 457-4413 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 855 Mankato Ave, Winona, Minnesota |
| Authorized Official Name and Position | Rachelle Schultz (PRESIDENT/CEO) |
| Authorized Official Contact | 5074574321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
855 Mankato Ave Po Box 5600 Winona MN 55987-4868 Ph: (507) 457-4321 | 855 Mankato Ave Winona MN 55987-4868 Ph: (507) 457-4321 |
| NPI Number | 1538243795 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538243795 | NPI | - | NPPES |
| 1928KCO | Other | MN | BLUE CROSS |
| 124847200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| 273R00000X | Psychiatric Unit | 327668 (Minnesota) | Secondary |
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 |