Healthcare Provider Details
I. General information
NPI: 1417822297
Provider Name (Legal Business Name): MH HEALTH CARE SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2505 WILLMAR AVE SW
WILLMAR MN
56201-2711
US
IV. Provider business mailing address
PO BOX 1433
PORTSMOUTH NH
03802-1433
US
V. Phone/Fax
- Phone: 320-263-4149
- Fax:
- Phone: 866-434-3255
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TERRY
LAYMAN
Title or Position: SR. VP CORPORATE MEDICAL DIRECTOR
Credential: MD
Phone: 866-434-3255