GUSTAVUS ADOLPHUS COLLEGE NPI 1508911330

NPI Information

  • NPI: 1508911330
  • Provider Name: GUSTAVUS ADOLPHUS COLLEGE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE
  • CLIA Number: 24D0671208
  • Address: 800 W COLLEGE AVE
    HEALTH SERVICE
    SAINT PETER, MN
    ZIP 56082
  • Phone: (507) 933-8000

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NPI Details

GUSTAVUS ADOLPHUS COLLEGE is a family nurse practitioner in Saint Peter, MN. GUSTAVUS ADOLPHUS COLLEGE NPI is 1508911330. The provider is registered as an organization entity type.
The provider Other Name Is Gustavus Adolphus College Health Service.

The provider's business location address is:

800 W COLLEGE AVE
HEALTH SERVICE
SAINT PETER, MN
ZIP 56082-485
Phone: (507) 933-8000
Fax: (507) 933-6074

The provider's authorized official is Heather Dale .
The authorized official title is Director Of Health Service and has the following contact phone number (507) 933-7630.

The CLIA number assigned to this NPI record is 24D0671208 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/7/2022.

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
1261QU0200XClinic/CenterUrgent CareNo
2363LA2100XNurse PractitionerAcute CareNo
3363LF0000XNurse PractitionerFamilyYes

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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