Organization · Type 2 NPI
Centracare Clinic Southwest LLC
Non-Pharmacy Dispensing Site · New London, MN
NPI number
1982441853
Active
Practice location
600 Peterson Pkwy
New London, MN 56273-7823
Fax (320) 354-2274
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8 other providers at this address
- Coborns IncCommunity/Retail Pharmacy New London, MN NPI 1609037134
- Kelsie Jean Rustad, PA-CFamily Medicine Physician New London, MN NPI 1386377901
- Pamela Jo Reinertson, PTPhysical Therapist New London, MN NPI 1740460971
- Richard A. Wehseler, MDFamily Medicine Physician New London, MN NPI 1609842335
- Roxanne SchmiesingPhysician Assistant New London, MN NPI 1992181754
- Steven J. Shelver, MDFamily Medicine Physician New London, MN NPI 1750357067
- Terry M. Peterson, MDFamily Medicine Physician New London, MN NPI 1508832809
- Tessa Maline Slinden, PA-CPhysician Assistant New London, MN NPI 1922671205
About NPI 1982441853
Centracare Clinic Southwest LLC's National Provider Identifier is 1982441853, issued on Jul 9, 2024. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in New London, MN. The record was last updated on Jul 9, 2024.