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Contact Information

SOUTHERN CITIES CLINIC
400 4TH ST NW STE A
FARIBAULT, MN55021-5090
 Phone: 507-384-6830
 Fax: 651-431-7757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for SOUTHERN CITIES CLINIC

NPI Number 1326904756
LBN Legal business name SOUTHERN CITIES CLINIC
Authorized official MELISSA ELLS - (EXECUTIVE DIRECTOR AMBULATORY SERVI)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/30/2025
Last updated 01/28/2026 - About 4 months ago
Identifiers n/a
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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