HIAWATHA VALLEY MENTAL HEALTH CENTER (NPI# 1215327432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215327432 |
| Entity Type | Organization |
| Organization Name | HIAWATHA VALLEY MENTAL HEALTH CENTER |
| Practice Address |
2835 S Service Dr Ste 103 Red Wing MN 55066-1835 |
| Mailing Address |
420 E Sarnia St Winona MN 55987-6365 |
| Practice Telephone | 5074544341 |
| Practice Fax Number | 5074536267 |
| Mailing Telephone | 5074544341 |
| Mailing Fax Number | 5074536267 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | LAURENCE CONNERY (BOARD CHAIRMAN) |
| Authorized Official Telephone | 5074544341 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIAWATHA VALLEY MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912223033 | Hiawatha Valley Mental Health Center | Clinic/Center | 121 S Marshall St, Caledonia, MN 55921-1326 | 2010-04-14 |
| 1962659532 | Hiawatha Valley Mental Health Center | Clinic/Center | 611 Broadway Ave, Suite 100, Wabasha, MN 55981-1988 | 2008-08-26 |
| 1477865103 | Hiawatha Valley Mental Health Center | Community/Behavioral Health | 319 Main St, La Crosse, WI 54601-0705 | 2010-07-10 |
| 1225285893 | Hiawatha Valley Mental Health Center | Community/Behavioral Health | 166 Main St, Winona, MN 55987-3405 | 2008-08-26 |
| Street Address |
2835 S SERVICE DR STE 103 |
| City | RED WING |
| State | MN |
| Zip Code | 55066-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117869 | Amy Tornio | Nurse Practitioner | 2835 S Service Dr Ste 103, Red Wing, MN 55066-1835 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992759468 | County of Goodhue | Clinic/Center | 426 West Ave, Red Wing, MN 55066-2473 | 2006-05-20 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.