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Minnesota Department of Human Services Mental Health Information System (MHIS) Manual
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Page Posted: 06/02/2014

Page Reviewed and Updated: 12/29/2016

Link to Chapter 3 - Provider Information PDF

3. Provider Information

Contact Information

The MHIS has a Provider Information tab, which is maintained by the agency.

  • • The Provider Information tab has two sections: the Provider Information and the Provider Batch.
  • • Agencies are required to complete the Provider Information tab prior to reporting Client Level data.
  • Category

    Data Element

    Report Status at:

       

    Valid Entry

    Field Length

    Required

    Provider Information

     

    Provides IDDT Services

    Yes or No

     

    Primary Contact Information

    Last Name

    Alpha

    25

    First Name

    Alpha

    25

    Telephone number

    Numeric

    10

    Telephone extension

    Numeric

    4

    Email address

    Alphanumeric

    35

    Optional

    Secondary Contact Information

     

    Last Name

    Alpha

    25

    First Name

    Alpha

    25

    Telephone number

    Numeric

    10

    Telephone extension

    Numeric

    4

    Email address

    Alphanumeric

    35

    *Required

    Team Information (* Housing with Supportive Services grantees, ACT, and Forensic ACT providers are required to create Team Code and Team Name. Optional for all other program/treatment providers.

     

    Team Code

    Text

    2

    Team Name

    Alpha

    20

    *Required

    Provider Batch (* when agency submits more than one NPI/UMPI)

     

    Secondary NPI/UMPI Number

    Alphanumeric

    10

    Facility Location Zip code

    Numeric

    9

    Facility Location Taxonomy

    Numeric

    10

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