Organization
COUNTY OF GOODHUE
Active
Other names
GOODHUE COUNTY MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E GLASENAPP LSW, MPA (PROGRAM MANAGER)
(651) 385-6180
Entity
Organization
Contact information
Practice address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6180
(651) 385-6195
Mailing address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6180
(651) 385-6195
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
830919-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127604
U-CARE
MN
01
—
61Q69GO
BLUE CROSS/BLUE SHIELD
—
05
—
634028800
—
MN
01
—
DG5062
RAILROAD MEDICARE
MN
Enumeration date
05/20/2006
Last updated
03/10/2014
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