NORTHSIDE MEDICAL CENTER PLC NPI 1265401681

NPI Information

  • NPI: 1265401681
  • Provider Name: NORTHSIDE MEDICAL CENTER, PLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 24D0716060
  • Address: 465 EASTVOLD AVE
    ORTONVILLE, MN
    ZIP 56278
  • Phone: (320) 839-6157

Map and Directions

Get Directions

NPI Details

NORTHSIDE MEDICAL CENTER, PLC is a family medicine in Ortonville, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHSIDE MEDICAL CENTER, PLC NPI is 1265401681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

465 EASTVOLD AVE
ORTONVILLE, MN
ZIP 56278-107
Phone: (320) 839-6157
Fax: (320) 839-3851

The provider's authorized official is Liz M Sorenson .
The authorized official title is Clinic Administrator and has the following contact phone number (320) 839-6157.

The CLIA number assigned to this NPI record is 24D0716060 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/16/2006 and was last updated on 12/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2363LF0000XNurse PractitionerFamilyNo
3363LW0102XNurse PractitionerWomen's HealthNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101011119OTHERMINNESOTAPREFERRED ONE
205647NOOTHERMINNESOTABCBS OF MN
3794447100MEDICAIDMINNESOTA
4106639OTHERMINNESOTAUCARE OF MINNESOTA
5C029029MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAGROUP I.D.
6CJ3171OTHERMINNESOTARAILROAD MEDICARE

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI