| Woodland Centers | |
|
1125 6th St Se Willmar MN 56201-4675 | |
| (320) 235-4613 | |
| (320) 235-4613 |
| Full Name | Woodland Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1125 6th St Se, Willmar, 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 Po Box 787 Willmar MN 56201-0787 Ph: (320) 235-4613 | Woodland Centers 1125 6th St Se Willmar MN 56201-4675 Ph: (320) 235-4613 |
| NPI Number | 1750467171 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750467171 | NPI | - | NPPES |
| 854855205 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Woodland Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9140 | |
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