IVANHOE MEDICAL CENTER NPI 1376760777

NPI Information

  • NPI: 1376760777
  • Provider Name: IVANHOE MEDICAL CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: HENDRICKS CLINIC, P.A.
  • Address: 366 E GEORGE ST
    IVANHOE, MN
    ZIP 56142
  • Phone: (507) 694-1100

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NPI Details

IVANHOE MEDICAL CENTER is a clinic center in Ivanhoe, 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). IVANHOE MEDICAL CENTER NPI is 1376760777. The provider is registered as an organization entity type.
The provider Is Doing Business As Hendricks Clinic, P.a..

The provider's business location address is:

366 E GEORGE ST
IVANHOE, MN
ZIP 56142-707
Phone: (507) 694-1100

The provider's authorized official is Tabb Mccluskey .
The authorized official title is Medical Director and has the following contact phone number (507) 275-2295.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 11/27/2007.

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
1261Q00000XClinic/Center1757969MINNESOTAYes

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
1232816000MEDICAIDMINNESOTA
2C07204MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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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