FIVE COUNTY MENTAL HEALTH CENTER – NPI #1801015417
Clinic/Center

FIVE COUNTY MENTAL HEALTH CENTER is an AHC clinic located in BRAHAM, MN. NPPES has assigned the NPI number 1801015417 to FIVE COUNTY MENTAL HEALTH CENTER on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 19 years ago on Oct 01, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FIVE COUNTY MENTAL HEALTH CENTER below.

NPI Profile for
FIVE COUNTY MENTAL HEALTH CENTER

NPI Number
1801015417
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FIVE COUNTY MENTAL HEALTH CENTER
Primary location
521 BROADWAY AVENUE NORTH
FIVE COUNTY MENTAL HEALTH CENTER BRAHAM
BRAHAM, MN 55006
Phone: (320) 396-3333 Fax: (320) 396-3363
Mailing address
PO BOX 287
521 BROADWAY AVENUE NORTH
BRAHAM, MN 55006
Phone: (320) 396-3333 Fax: (320) 396-3363
Organization Subpart
No
Authorized Official
THOMAS SHROYER
EXECUTIVE DIRECTOR
Phone: (320) 396-3333
Updated
Identifiers

Identifiers for FIVE COUNTY MENTAL HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMN52337FI
OTHERHEALTH PARTNERSMN1150
OTHERMINNESOTA MEDICAL ASSISTAMN204755100
OTHERPREFERRED ONEMN98982
OTHERRAILROAD MEDICAREMNCS0088
OTHERUCAREMN115857
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
MN 800826-1-MHC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.