HIAWATHA VALLEY MENTAL HEALTH CENTER (NPI# 1912223033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912223033 |
| Entity Type | Organization |
| Organization Name | HIAWATHA VALLEY MENTAL HEALTH CENTER |
| Practice Address |
121 S Marshall St Caledonia MN 55921-1326 |
| Mailing Address |
420 E Sarnia St Ste 2100 Winona MN 55987-6414 |
| Practice Telephone | 5077252022 |
| Practice Fax Number | 5077253474 |
| Mailing Telephone | 5074544341 |
| Mailing Fax Number | 5074536267 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | ERIK SIEVERS (EXECUTIVE DIRECTOR) |
| 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) |
========= | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 25475540 | 05 | |
| WI | 100007314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215327432 | Hiawatha Valley Mental Health Center | Clinic/Center | 2835 S Service Dr Ste 103, Red Wing, MN 55066-1835 | 2015-01-26 |
| 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 |
121 S MARSHALL ST |
| City | CALEDONIA |
| State | MN |
| Zip Code | 55921-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851693147 | Scott Alan Siegersma | Counselor | 121 S Marshall St, Caledonia, MN 55921-1326 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941686 | Gloria Evelan Schroeder | Technician | 117 N 1st Street, Caledonia, MN 55921 | 2019-09-13 |
| 1417465931 | Claddagh Senior Living, LLC. | Assisted Living Facility | 508 Kruckow Ave. N., Caledonia, MN 55921 | 2018-01-18 |
| 1760501191 | Milton Joseph Schoeberl | Chiropractor | 114 N Sunset Blvd, Caledonia, MN 55921 | 2007-03-28 |
| 1184780033 | George Francis Frisch | Dentist | 123 W Lincoln St, Caledonia, MN 55921 | 2006-12-28 |
| 1619041027 | Bernard James Krenzke | Chiropractor | 102 E Grove St, Caledonia, MN 55921 | 2006-11-17 |
| 1619051653 | Family Dental Center of Caledonia LLC | Dentist | 120 W Main, Caledonia, MN 55921 | 2006-10-25 |
| 1336174267 | James John Fink | Chiropractor | 103 N. Ramsey, Suite 3, Caledonia, MN 55921 | 2006-07-11 |
| 1104800705 | Herman Dental Clinic Pa | Dentist | 620 N Highway 44/76, Caledonia, MN 55921 | 2005-12-06 |
| 1265439715 | Houston County Auditor | Home Health | 611 Vista Drive, Suite 1, Caledonia, MN 55921 | 2005-06-30 |
| 1194210997 | 425 N Badger Street Caledonia Opco LLC | Skilled Nursing Facility | 425 N Badger St, Caledonia, MN 55921 | 2018-06-25 |
| Find all providers in zip 55921 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.