MIDWEST MENTAL HEALTH CLINIC


Address: 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560
Phone: 2184771353

MIDWEST MENTAL HEALTH CLINIC (NPI# 1861877052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861877052
Entity Type Organization
Organization Name MIDWEST MENTAL HEALTH CLINIC
Practice Address 819 30th Ave S Office 206 Suite B
Moorhead
MN 56560
Practice Telephone 2184771353
Practice Fax Number 2184771354
Mailing Telephone 2184771353
Mailing Fax Number 2184771354
Enumeration Date 2015-07-29
Last Update Date 2015-07-29
Authorized Official Name JACQUALINE BLEESS TOPPEN (OWNER)
Authorized Official Telephone 2184771353
Authorized Official Credential PMHNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP3899 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 819 30TH AVE S OFFICE 206 SUITE B
City MOORHEAD
State MN
Zip Code 56560

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386298859 Anna Mckay Fox Pharmacist 4000 28th Avenue S, Moorhead, MN 56560 2019-08-01
1972019727 Michael Wayne Hilliard Specialist/Technologist 649 17th St S, Moorhead, MN 56560 2017-12-15
1508217183 Kristen Johnson Nurse Practitioner 801 Belsly Boulevard, Moorhead, MN 56560 2016-06-25
1083037709 Drake Counseling Services, Inc. Clinic/Center 715 11th Street North, Suite 204, Moorhead, MN 56560 2014-01-31
1710310917 Lamar Terrell Hill Social Worker 420 Center Ave Ste 102, Moorhead, MN 56560 2013-08-12
1982956140 Lilac Homes Corporation Assisted Living Facility 2615 Parkview Dr, Moorhead, MN 56560 2012-10-11
1487918462 Paige Joy Hanson Massage Therapist 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 2012-06-25
1972809408 Cslm, LLC Assisted Living Facility 2401 South 11th Street, Moorhead, MN 56560 2011-02-01
1972814846 Paul Michael Fluto Pharmacist 3000 Hwy 10 East, Mooehead, MN 56560 2010-06-25
1508044975 Jacy1 Dba Anchorage Substance Abuse Rehabilitation Facility 810 4th St S, Suite 152, Moorhead, MN 56560 2008-02-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326655689 Samir Golos Nurse Practitioner 1301 8th St S, Moorhead, MN 56560-3604 2020-09-30
1215312236 Amy Jo Lavalla Nurse Practitioner 1010 32nd Ave S, Moorhead, MN 56560-5001 2015-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285234435 Hawa Warsame Ali Nurse Practitioner 2650 Portland Ave, Minneapolis, MN 55407-1011 2020-10-27
1962009548 Emily Ongaga Nurse Practitioner 43 10 Parkview Circle, Anoka, MN 55303 2020-10-06
1811504038 Rita Jane Giglio Nurse Practitioner 201 Stade Ln, Fairmont, MN 56031-3227 2020-09-30
1568077725 Linda Mongare Nurse Practitioner 3659 Tower Pond Dr, Anoka, MN 55303-8302 2020-09-14
1366056806 Associates In Mental Health and Addiction Services. P.l.l.c Nurse Practitioner 166 W 3rd St Ste 202, Winona, MN 55987-6591 2020-09-02
1891308813 Chelsey Paulson Nurse Practitioner 228 Krays Mill Rd, Cold Spring, MN 56320-4563 2020-08-28
1417560681 Amy Engle Nurse Practitioner 1125 Se 8th Street, Willmar, MN 56201 2020-08-28
1609488964 Heather Mantsch Nurse Practitioner 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 2020-08-18
1326659210 Monsurat Oluwa-okougbo Nurse Practitioner 1565 11th Ave, Newport, MN 55055-1650 2020-08-13
1629687124 Justin Robert Wirth Nurse Practitioner 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 2020-07-30
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Competitor

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City MOORHEAD
Zip Code 56560

Improve Information

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Dataset Information

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.

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