| Woodland Centers | |
|
1125 6th St Se Willmar MN 56201-0787 | |
| (320) 235-4613 | |
| (320) 231-9140 |
| Full Name | Woodland Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1125 6th St Se, Willmar, Minnesota |
| Authorized Official Name and Position | Ashley Kjos (CEO) |
| Authorized Official Contact | 3202354613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Centers 1125 6th St Se Willmar MN 56201-0787 Ph: (320) 235-4613 | Woodland Centers 1125 6th St Se Willmar MN 56201-0787 Ph: (320) 235-4613 |
| NPI Number | 1104909779 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104909779 | NPI | - | NPPES |
| 684569000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 830946 (Minnesota) | Primary |
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