Organization
HIAWATHA VALLEY MENTAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK SIEVERS (EXECUTIVE DIRECTOR)
(507) 454-4341
Entity
Organization
Contact information
Practice address
611 BROADWAY AVE STE 100, WABASHA, MN 55981-1669
(651) 565-2234
(651) 565-2890
Mailing address
420 E SARNIA ST STE 2100, WINONA, MN 55987-6414
(507) 454-4341
(507) 453-6267
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119914
UCARE
MN
05
—
255407100
—
MN
01
—
38155HI
BCBS MN
MN
01
—
9101HI
BCBS MN
MN
Enumeration date
09/11/2007
Last updated
02/27/2020
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