SLEEP CENTER OF WILLMAR LLC NPI 1467718064

NPI Information

NPI: 1467718064
Provider Name: SLEEP CENTER OF WILLMAR, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
2100 19TH AVE SW STE 1
WILLMAR, MN
ZIP 56201
Phone: (320) 441-2104
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SLEEP CENTER OF WILLMAR, LLC is a sleep disorder diagnostic clinic center in Willmar, MN. SLEEP CENTER OF WILLMAR, LLC NPI is 1467718064. The provider is registered as an organization entity type.

The provider's business location address is:

2100 19TH AVE SW STE 1
WILLMAR, MN
ZIP 56201-287
Phone: (320) 441-2104
Fax: (320) 441-2052

The provider's authorized official is Jarad Douglas Ripperger .
The authorized official title is Manager and has the following contact phone number (320) 441-2104.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 4/3/2019.

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
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic		MINNESOTA	Yes
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	6586527	MINNESOTA	No

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
1	6586527	OTHER	NORTH CAROLINA	MN LICENSE

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

NPI Synchronization or Removal

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