CENTRACARE CLINIC MELROSE NPI 1629070230

NPI Information

NPI: 1629070230
Provider Name: CENTRACARE CLINIC MELROSE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 24D0405981

Address:
525 W MAIN ST
MELROSE, MN
ZIP 56352
Phone: (320) 256-4228
Get Directions

CENTRACARE CLINIC MELROSE is a multi-specialty clinic center in Melrose, MN. CENTRACARE CLINIC MELROSE NPI is 1629070230. The provider is registered as an organization entity type.

The provider's business location address is:

525 W MAIN ST
MELROSE, MN
ZIP 56352
Phone: (320) 256-4228
Fax: (320) 256-7106

The provider's authorized official is Thomas M Feldhege .
The authorized official title is Treasurer Director Of Finance and has the following contact phone number (320) 240-2152.

The CLIA number assigned to this NPI record is 24D0405981 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/21/2022.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QM1300X	Clinic/Center	Multi-Specialty		MINNESOTA	Yes

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 Issuer
1	98-01249	OTHER	MEDICA
2	109966	OTHER	UCARE
3	35580	OTHER	HEALTH PARTNERS
4	47A46CE	OTHER	BCBS
5	NA135	OTHER	PREF ONE

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: 5/5/2024

NPI Synchronization or Removal

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