SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC. (NPI# 1568505493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568505493 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC. |
| Practice Address |
909 4th Ave Worthington MN 56187-2326 |
| Mailing Address |
909 4th Ave Po Box 787 Worthington MN 56187-2326 |
| Practice Telephone | 5043764195 |
| Practice Fax Number | 5073724214 |
| Mailing Telephone | 5073764195 |
| Mailing Fax Number | 5073724214 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS LORI C KLOOSTER (HEALTH SERVICES DIRECTOR) |
| Authorized Official Telephone | 5073764195 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336237700 | Southwestern Minnesota Opportunity Council, Inc. | Clinic/Center | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC. | 1106 3rd Ave, Worthington, MN 56187-2475 |
| Street Address |
909 4TH AVE |
| City | WORTHINGTON |
| State | MN |
| Zip Code | 56187-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336237700 | Southwestern Minnesota Opportunity Council, Inc. | Clinic/Center | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-11 |
| 1629190129 | Southwestern Minnesota Adult Mental Health Consortium | Counselor | 909 4th Ave, Suite C, Worthington, MN 56187-2326 | 2007-04-04 |
| 1215012059 | Southwestern Minnesota Opportunity Council, Inc Ctc | Public Health or Welfare | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316224363 | Paul Michael Carlson | Dentist | 507 South Shore Drive, Worthington, MN 56187 | 2011-11-04 |
| 1912216540 | Nobles County Jail | Clinic/Center | 1530 Airport Road, Worthington, MN 56187 | 2010-09-30 |
| 1306984539 | Edward Thomas Mcniece | Dentist | 1027 Second Ave, Worthington, MN 56187 | 2007-02-01 |
| 1053338780 | Diagnostic Radiologic Imaging Pa | Radiology | 1607 N Mcmillan St, Ste 1, Worthington, MN 56187 | 2006-07-17 |
| 1427014232 | Scott James Hoffman | Podiatrist | 1205 Ryans Road, Worthington, MN 56187 | 2006-04-21 |
| 1588654404 | Jason Coy Turner | Pharmacist | 511 10th St, Worthington, MN 56187 | 2005-10-22 |
| 1518433879 | Nicole Block | Nurse Practitioner | 1680 Diagonal Rd, Worthington, MN 56187 | 2018-10-15 |
| 1033423322 | Rachael R Dekker | Nurse Practitioner | 1018 6th Ave, Worthington, MN 56187 | 2010-07-29 |
| 1417196601 | Jonathan Gabriel Eli-phillips | Obstetrics & Gynecology | 1018 6th Ave, Worthington, MN 56187 | 2009-02-11 |
| 1174716245 | Sanford Clinic | Radiology | 1018 6th Ave, Worthington, MN 56187 | 2007-08-22 |
| Find all providers in zip 56187 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
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| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WORTHINGTON |
| Zip Code | 56187 |
Please comment or provide details below to improve the information on SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.