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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