OrganizationActive
Minnesota Specialty Health Systems-Wadena
NPI 1154626554 · Mental Illness Community Based Residential Treatment Facility · Wadena, MN
Provider details
- NPI number
- 1154626554
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lynn Glancey, Chief Financial Officer(651) 539-7200
- License
- 1058768-1-RMI (MN)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 1058768-1-RMI (MN)
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 Shady Lane Dr
Wadena, MN 56482-3093
Phone: (218) 319-6001
Street-level locationGet directions
Mailing address
3200 Labore Rd
Vadnais Heights, MN 55110-5186
Registry dates
- Enumerated
- 2011-01-14
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.