MANKATO CLINIC EXPRESS LLC NPI 1265626964

NPI Information

  • NPI: 1265626964
  • Provider Name: MANKATO CLINIC EXPRESS, LLC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • CLIA Number: 24D2030769
  • Address: 1850 ADAMS ST
    SUITE 130
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 625-1811

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NPI Details

MANKATO CLINIC EXPRESS, LLC is a physician assistant in Mankato, MN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MANKATO CLINIC EXPRESS, LLC NPI is 1265626964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1850 ADAMS ST
SUITE 130
MANKATO, MN
ZIP 56001-864
Phone: (507) 625-1811

The provider's authorized official is Randy Farrow .
The authorized official title is Chief Executive Officer and has the following contact phone number (507) 389-8501.

The CLIA number assigned to this NPI record is 24D2030769 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 11/12/2009.

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
1363A00000XPhysician AssistantYes

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

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