Woodland Centers | |
310 4th St Nw Clara City MN 56222 | |
(320) 847-2207 | |
(320) 847-2207 |
Full Name | Woodland Centers |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 310 4th St Nw, Clara City, Minnesota |
Authorized Official Name and Position | Ashley Kjos (CEO) |
Authorized Official Contact | 3202354613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Woodland Centers 1125 6th St Se Po Box 787 Willmar MN 56201-0787 Ph: (320) 235-4613 | Woodland Centers 310 4th St Nw Clara City MN 56222 Ph: (320) 847-2207 |
NPI Number | 1295811610 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 08/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295811610 | NPI | - | NPPES |
165185400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1033143-1-AFC (Minnesota) | Primary |