MANKATO CLINIC ENDOSCOPY CENTER LLC; NPI #1225004625

Contact Information

MANKATO CLINIC ENDOSCOPY CENTER LLC

1230 E MAIN ST
MANKATO, MN 56001-5066

Phone: 800-657-6944
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for MANKATO CLINIC ENDOSCOPY CENTER LLC

NPI Number 1225004625

LBN Legal business name MANKATO CLINIC ENDOSCOPY CENTER LLC

Authorized official RANDY FARROW - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/24/2006

Last updated 08/07/2012 - About 14 years ago

Identifiers

MN	Medicaid	443100600
FM	Other	6J32MA	BLUE CROSS MN
MN	Other	105111	HEALTH PARTNERS
MN	Other	6800057	MEDICA
MN	Other	1043482	PREFERRED ONE
MN	Other	P00225672	RAILROAD MEDICARE
MN	Other	180538	UCARE MINNESOTA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MANKATO CLINIC ENDOSCOPY CENTER LLC

Contact Information

Specialty

Endoscopy

NPI Profile & details for MANKATO CLINIC ENDOSCOPY CENTER LLC

Reviews for MANKATO CLINIC ENDOSCOPY CENTER LLC