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OLMSTED MEDICAL CENTER NPI 1013277789


NPI Information

NPI: 1013277789
Provider Name: OLMSTED MEDICAL CENTER

Doing Business As: OMC SKYWAY CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D1077667

Address:
318 1ST AVE SW
SUITE 203
ROCHESTER, MN
ZIP 55902
Phone: (507) 529-6616
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OLMSTED MEDICAL CENTER is a clinic center in Rochester, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OLMSTED MEDICAL CENTER NPI is 1013277789. The provider is registered as an organization entity type.
The provider Is Doing Business As Omc Skyway Clinic.

The provider's business location address is:

318 1ST AVE SW
SUITE 203
ROCHESTER, MN
ZIP 55902-310
Phone: (507) 529-6616

The provider's authorized official is Kevin Higgins .
The authorized official title is Cfo and has the following contact phone number (507) 529-6619.

The CLIA number assigned to this NPI record is 24D1077667 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2012 and was last updated on 5/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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