Great River Act-St. Cloud

LBN: Central Minnesota Mental Health Center
Great River Act-St. Cloud is an health care organization with primary practice located at 3333 W Division St Suite 217, Saint Cloud MN 56301-4515. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Central Minnesota Mental Health Center can be contacted via phone (320) 253-4136, or through Baraga, David J. via phone (320) 252-5010.

Contact Information

Primary practice address
3333 W Division St Suite 217 Saint Cloud MN 56301-4515
Phone: (320) 253-4136
Fax: (320) 253-4179
Website:
Map and Directions
Authorized official contact:
Name: Baraga, David J. PH.D., LP
Phone: (320) 252-5010

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 800356-1-MHC Minnesota

Profile Details

NPI number 1639384043
LBN Legal business name Central Minnesota Mental Health Center
DBA Doing business as Great River Act-St. Cloud
Authorized official Baraga, David J. PH.D., LP
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Dec 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639384043 NPPES
Minnesota MEDICAID 024755301

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