# GREATER MINNESOTA TRAUMA CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306542964
- **Authorized official:** JUSTIN COATES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (507) 327-5005

## Contact information

- **Practice address:** 208 S MINNESOTA AVE, SAINT PETER, MN 56082-2545
- **Practice address phone:** (507) 200-1667
- **Mailing address:** PO BOX 254, SAINT PETER, MN 56082-0254
- **Mailing address phone:** (507) 327-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023