COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA (NPI# 1235179730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235179730 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA |
| Practice Address |
201 Shady Lane Dr Wadena MN 56482-3093 |
| Mailing Address |
Po Box 64979 Saint Paul MN 55164-0979 |
| Practice Telephone | 2183196001 |
| Mailing Telephone | 6514313676 |
| Mailing Fax Number | 6514317505 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | VICTORIA O ALABI (HUMAN SERVICES MANAGER) |
| Authorized Official Telephone | 6514788002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 34861700 | 05 |
| Street Address |
201 SHADY LANE DR |
| City | WADENA |
| State | MN |
| Zip Code | 56482-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210925 | Lss of Wadena, LLC | Home Health | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2005-07-21 |
| 1104445287 | April Marie Shone | Occupational Therapy Assistant | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2020-04-09 |
| 1518586783 | Melanie Rose Altrichter | Physical Therapist | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2020-04-08 |
| 1518474931 | Fair Oaks Nursing and Rehab, LLC | Skilled Nursing Facility | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2018-01-08 |
| 1932445889 | Elim Homes, Inc. D.b.a. Pro Rehab | Skilled Nursing Facility | 201 Shady Lane Dr, 201 Shady Lane Drive, Wadena, MN 56482-3093 | 2012-12-21 |
| 1033455902 | Rachelle Doucette | Physical Therapist | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2012-12-21 |
| 1043205917 | Lss Home Health and Hospice, LLC | Home Health | 201 Shady Lane Dr, Wadena, MN 56482-3093 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
| 1013042589 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 11630 State Ave, Brainerd, MN 56401-7306 | 2007-02-23 |
| 1346304805 | Comminty Behavioral Health Hospital-cold Spring | Psychiatric Hospital | 224 Krays Mill Road, Cold Spring, MN 56320 | 2006-12-20 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| 1962583039 | Community Behavioral Health Hospital-fergus Falls | Psychiatric Hospital | 1801 West Alcott, Fergus Falls, MN 56537 | 2006-10-17 |
| 1336237957 | Minneapolis Veterans Administration Hospital | Psychiatric Hospital | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2006-10-10 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1386676799 | Community Behavioral Health Hospital-alexandria | Psychiatric Hospital | 1610 8th Aveune East, Alexandria, MN 56308 | 2006-07-07 |
| 1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA.
| 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.