NPI 1104850510 HENDRICKS CLINIC PA HENDRICKS MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Hendricks Clinic Pa - NPI: 1104850510

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: HENDRICKS CLINIC PA
NPI Number: 1104850510
Entity Type Code: Organizational (2)
Authorized Official Name: TABB L MCCLUSKEY
(OWNER PRESIDENT)
Mailing Address: 501 E Lincoln St
Hendricks
State: MN US
Postal Code: 561360026
Phone Number: 5072753121
Fax Number: 5072753194
NPI Enumeration Date: 07/10/2006
NPI Last Update Date: 12/28/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QR1300X
License Number: 1757969
Healthcare Provider Taxonomy:
(Secondary)
N
State: MN
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Rural Health
Taxonomy Definition:


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