ROCHESTER FAMILY MEDICINE CLINIC PA NPI 1538366224

NPI Information

  • NPI: 1538366224
  • Provider Name: ROCHESTER FAMILY MEDICINE CLINIC PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 40 16TH ST SE STE E
    ROCHESTER, MN
    ZIP 55904
  • Phone: (507) 288-0124

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NPI Details

ROCHESTER FAMILY MEDICINE CLINIC PA is a primary care clinic center in Rochester, MN. ROCHESTER FAMILY MEDICINE CLINIC PA NPI is 1538366224. The provider is registered as an organization entity type.

The provider's business location address is:

40 16TH ST SE STE E
ROCHESTER, MN
ZIP 55904-987
Phone: (507) 288-0124
Fax: (507) 288-5383

The provider's authorized official is Tracy J Hoffman .
The authorized official title is Clinic Administrator and has the following contact phone number (507) 288-0124.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 10/3/2007.

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
1261QP2300XClinic/CenterPrimary Care017145MINNESOTAYes

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
1B58562MEDICARE UPINMINNESOTA
2080000330MEDICARE PIN
32029345MEDICAIDMINNESOTA
4S44981MEDICARE UPINMINNESOTA
5421521400MEDICAIDMINNESOTA
6500000368MEDICARE PIN

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: 3/30/2025

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