GLADSTONE HEALTH LLC NPI 1922912484

NPI Information

  • NPI: 1922912484
  • Provider Name: GLADSTONE HEALTH LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 562 WESTWIND AVE
    SHAKOPEE, MN
    ZIP 55379
  • Phone: (608) 617-6352

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NPI Details

GLADSTONE HEALTH LLC is a clinic center in Shakopee, 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). GLADSTONE HEALTH LLC NPI is 1922912484. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

562 WESTWIND AVE
SHAKOPEE, MN
ZIP 55379-231
Phone: (608) 617-6352

The provider's authorized official is Matthew Singer .
The authorized official title is Owner and has the following contact phone number (608) 617-6352.

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/1/2026.

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
1261Q00000XClinic/CenterYes

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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