CHISHOLM MEDICAL CLINIC NPI 1871507632

NPI Information

  • NPI: 1871507632
  • Provider Name: CHISHOLM MEDICAL CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 400 1ST AVE SW
    SUITE 1
    CHISHOLM, MN
    ZIP 55719
  • Phone: (218) 254-7476

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NPI Details

CHISHOLM MEDICAL CLINIC is a family medicine in Chisholm, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHISHOLM MEDICAL CLINIC NPI is 1871507632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 1ST AVE SW
SUITE 1
CHISHOLM, MN
ZIP 55719-081
Phone: (218) 254-7476

The provider's authorized official is William Wilson .
The authorized official title is Owner and has the following contact phone number (218) 254-7476.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/18/2008.

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
1207Q00000XFamily MedicineYes

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
155A03CHOTHERMINNESOTABCBS
2C03019MEDICARE PINMINNESOTA
3CH9913MEDICARE PINMINNESOTA

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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