Organization
LAKELAND MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BAKER (CEO)
(218) 299-6669
Entity
Organization
Contact information
Practice address
980 S TOWER RD, FERGUS FALLS, MN 56537-5505
(218) 736-6987
(218) 736-0734
Mailing address
980 S TOWER RD, FERGUS FALLS, MN 56537-5505
(218) 736-6987
(218) 736-0734
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
434755200
MN
251B00000X
Case Management Agency
434755211
MN
251B00000X
Case Management Agency
434755212
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
801338-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030701035
PRIME WEST HEALTH SYSTEM
MN
01
—
109513
UCARE MINNESOTA
MN
05
—
250357300
—
MN
05
—
434755200
—
MN
05
—
434755211
—
MN
05
—
434755212
—
MN
01
—
62522LA
BLUE SHIELD OF MINNESOTA
MN
Enumeration date
06/03/2006
Last updated
09/20/2021
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