Organization · Type 2 NPI

Centracare Clinic Southwest LLC

Multi-Specialty Clinic/Center · Willmar, MN

NPI number 1174106264 Active

Practice location

101 Willmar Ave SW
Willmar, MN 56201-3556

Mailing address

PO Box 735828
Chicago, IL 60673-5828

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1174106264

Centracare Clinic Southwest LLC's National Provider Identifier is 1174106264, issued on May 5, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Willmar, MN. The record was last updated on Sep 17, 2026.