| Five County Mental Health Center | |
|
521 Broadway Avenue North Five County Mental Health Center Braham Braham MN 55006 | |
| (320) 396-3333 | |
| (320) 396-3363 |
| Full Name | Five County Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 521 Broadway Avenue North, Braham, Minnesota |
| Authorized Official Name and Position | Thomas Shroyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3203963333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Five County Mental Health Center Po Box 287 521 Broadway Avenue North Braham MN 55006 Ph: (320) 396-3333 | Five County Mental Health Center 521 Broadway Avenue North Five County Mental Health Center Braham Braham MN 55006 Ph: (320) 396-3333 |
| NPI Number | 1801015417 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801015417 | NPI | - | NPPES |
| 52337FI | Other | MN | BLUE CROSS BLUE SHIELD |
| 1150 | Other | MN | HEALTH PARTNERS |
| 115857 | Other | MN | UCARE |
| CS0088 | Other | MN | RAILROAD MEDICARE |
| 204755100 | Other | MN | MINNESOTA MEDICAL ASSISTA |
| 98982 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800826-1-MHC (Minnesota) | Primary |