Organization
CARVER COUNTY
Active
Other names
First Street Center, Carver County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GOODWIN (DIRECTOR)
(952) 361-1660
Entity
Organization
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
800823-3-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017120
PREFERRED ONE
MN
01
—
109639
U-CARE
MN
01
—
31377
HEALTH PARTNERS
MN
01
—
328T1BE
BEHAVIORAL HEALTHCARE PRO
MN
01
—
51057CA
BLUE CROSS BLUE SHIELD
MN
01
—
9212210
METROPOLITAN HEALTH PLAN
MN
05
—
924555300
—
MN
Enumeration date
08/09/2005
Last updated
06/13/2023
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