MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR – NPI #1194014134
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR is a community based residential treatment facility located in WILLMAR, MN. NPPES has assigned the NPI number 1194014134 to MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR on March 30, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Jan 07, 2026. 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 MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR below.

NPI Profile for
MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR

NPI Number
1194014134
Enumeration Date

(more than 15 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
MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR
Primary location
1208 OLENA AVE. SE
WILLMAR, MN 56201
Phone: (320) 235-0900 Fax:
1 Other location(s):
1208 Olena Ave
Willmar, MN 56201-4766
Phone: (651) 431-3676
Fax: (651) 431-7505
Mailing address
3200 LABORE RD
SUITE 104
VADNAIS HEIGHTS, MN 55110-5186
Phone: (651) 539-7200 Fax: (651) 431-7505
Organization Subpart
No
Authorized Official
LYNN GLANCEY
CHIEF FINANCIAL OFFICER
Phone: (651) 539-7200
Updated
Certification Date
Jan 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 MN 1058767-1-RMI

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.