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ROCHESTER CLINIC PLC NPI 1861675159


NPI Information

NPI: 1861675159
Provider Name: ROCHESTER CLINIC PLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D2015374

Address:
3070 WELLNER DR NE
ROCHESTER, MN
ZIP 55906
Phone: (507) 218-3095
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ROCHESTER CLINIC PLC is a clinic center in Rochester, 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). ROCHESTER CLINIC PLC NPI is 1861675159. The provider is registered as an organization entity type.

The provider's business location address is:

3070 WELLNER DR NE
ROCHESTER, MN
ZIP 55906-427
Phone: (507) 218-3095
Fax: (507) 218-3097

The provider's authorized official is Jengyu Lai .
The authorized official title is Chief Manager and has the following contact phone number (507) 218-3095.

The CLIA number assigned to this NPI record is 24D2015374 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/10/2007 and was last updated on 5/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatricNo
2261QP2300XClinic/CenterPrimary CareNo
3261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16476220001MEDICARE NSCMINNESOTA
2C05363MEDICARE UPINMINNESOTA

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

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