National Provider Identifier Database

LAC QUI PARLE CLINIC OF MADISON INC
Rural Health


Contact Information

LAC QUI PARLE CLINIC OF MADISON INC
820 3RD AVE
MADISON, MN56256-1014
Phone: 320-598-7551
Fax: 320-598-7553
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for LAC QUI PARLE CLINIC OF MADISON INC

NPI Number 1144266156
Legal business name
LBN
LAC QUI PARLE CLINIC OF MADISON INC
Authorized official CAROL BORGERSON - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/20/2006
Last updated 05/16/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 933813600
  • MN Other: 3F739LA BCBS
  • MN Other: 106646 UCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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