LAC QUI PARLE CLINIC OF MADISON INC; NPI #1144266156

Contact Information

LAC QUI PARLE CLINIC OF MADISON INC

820 3RD AVE
MADISON, MN 56256-1014

Phone: 320-598-7551
Fax: 320-598-7553
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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

NPI # 1144266156

LBN Legal business name LAC QUI PARLE CLINIC OF MADISON INC

Authorized official CAROL BORGERSON - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/20/2006

Last updated 05/16/2024 - About 2 years ago

Identifiers

MN	Medicaid	933813600
MN	Other	3F739LA	BCBS
MN	Other	106646	UCARE

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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