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MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR
NPI 1194014134
Community Based Residential Treatment Facility, Mental Illness in Willmar, MN

Active since March 30, 2011
1208 OLENA AVE. SE, WILLMAR, MN 56201(320) 235-0900 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Nov 9, 2023, Sep 4, 2019 (3 updates tracked since 2019).

About Minnesota Speciality Health Systems Willmar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR (NPI 1194014134) is a healthcare organization registered as a community based residential treatment facility, mental illness in Willmar, Minnesota and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Willmar and lists Lynn Glancey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1194014134
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR
Location Address1208 OLENA AVE. SEWillmar, MN 56201
Mailing Address3200 Labore Rd, Suite 104Vadnais Heights, MN 55110-5186 · (651) 539-7200 · Fax (651) 431-7505
Phone(320) 235-0900
Organization SubpartNo
Authorized OfficialLynn GlanceyChief Financial Officer · (651) 539-7200
Enumeration DateMarch 30, 2011
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1194014134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MN · 1058767-1-RMI
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1208 OLENA AVE. SE, Willmar, MN 56201
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Secondary Practice Location 1

Location 11208 Olena AveWillmar, MN 56201-4766 · Phone (651) 431-3676 · Fax (651) 431-7505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Speciality Health Systems Willmar's NPI number?

The NPI number for Minnesota Speciality Health Systems Willmar is 1194014134. It was assigned to this organization in the NPPES registry on March 30, 2011.

Where is Minnesota Speciality Health Systems Willmar located?

Minnesota Speciality Health Systems Willmar is located at 1208 Olena Ave. SE, Willmar, MN 56201. The listed phone number is (320) 235-0900.

What is Minnesota Speciality Health Systems Willmar's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Minnesota Speciality Health Systems Willmar was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.