Organization
FAMILY & CHILDREN'S CENTER, INC
Active
Parent organization
FAMILY & CHILDREN'S CENTER, INC
Other names
Family & Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & CHILDREN'S CENTER, INC
Authorized official
MIKE BOEHM (CEO, PRESIDENT)
(608) 785-0001
Entity
Organization
Contact information
Practice address
2118 CAMPUS DR SE, STE 100, ROCHESTER, MN 55904-6492
(507) 281-3508
(507) 536-9317
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1388465J60
UCARE
—
01
—
163907000
MAGELLAN
—
01
—
328L0FA
BCBS OF MN
MN
05
—
49393700
—
MN
01
—
HPFIN77035
HEALTHPARTNERS
—
Enumeration date
03/06/2007
Last updated
01/16/2012
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