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Organization
SOUTHWESTERN MENTAL HEALTH CENTER INC
Active
Organization
SOUTHWESTERN MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE JEROME COMEAU (EXECUTIVE DIRECTOR)
(507) 283-9511
Entity
Organization
Contact information
Practice address
117 S SPRING ST, LUVERNE, MN 56156-1916
(507) 283-9511
(507) 283-9514
Mailing address
PO BOX 686, LUVERNE, MN 56156-0686
(507) 283-9511
(507) 283-9514
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
831125
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114833
UCARE
MN
01
—
48828SO
BLUE CROSS BLUE SHIELD
MN
05
—
500636800
—
MN
05
—
534855200
—
MN
Enumeration date
07/29/2005
Last updated
02/29/2024
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