Centracare Clinic Southwest Llc

LBN: Centracare Clinic Southwest Llc
Centracare Clinic Southwest Llc is an health care organization with primary practice located at 101 Willmar Ave Sw , Willmar MN 56201-3556. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Centracare Clinic Southwest Llc can be contacted via phone (320) 231-5000, or through Blair, Michael via phone (320) 255-5665.

Contact Information

Primary practice address
101 Willmar Ave Sw Willmar MN 56201-3556
Phone: (320) 231-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blair, Michael
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1912664889
LBN Legal business name Centracare Clinic Southwest Llc
DBA Doing business as
Authorized official Blair, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2021
Last updated Nov 30th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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