Minnesota Specialty Health Systems-Wadena
Community Based Residential Treatment Facility, Mental Illness in Wadena, MN. Organization (NPI-2).
NPI number1154626554
StatusActive
Last updated in NPPESJan 7, 2026
Details
- NPI
- 1154626554
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Specialty Health Systems-Wadena
- Organization subpart
- No
- Enumeration date
- Jan 14, 2011
- Certification date
- Jan 7, 2026
- Last updated
- Jan 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1058768-1-RMI | MN | Yes |
Practice location
240 Shady Lane DrWadena, MN 56482-3093
Phone 218-319-6001
Mailing address
3200 Labore RdSuite 104
Vadnais Heights, MN 55110-5186
Phone 651-539-7200
Authorized official
Lynn Glancey
Chief Financial Officer
6515397200
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