| Woodland Centers | |
|
215 Milkyway St S Cosmos MN 56228-7726 | |
| (320) 877-7220 | |
| (320) 877-7479 |
| Full Name | Woodland Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 215 Milkyway St S, Cosmos, 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 |
|---|---|
| Woodland Centers 1125 6th St Se Willmar MN 56201-4675 Ph: (320) 235-4613 | Woodland Centers 215 Milkyway St S Cosmos MN 56228-7726 Ph: (320) 877-7220 |
| NPI Number | 1407489651 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407489651 | NPI | - | NPPES |
| 854855205 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Tri-star Assertive Community Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Milky Way Street South, Cosmos, MN 56228 Phone: 320-877-7220 Fax: 320-877-7479 |