MANKATO CLINIC, LTD (NPI# 1255623765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255623765 |
| Entity Type | Organization |
| Organization Name | MANKATO CLINIC, LTD |
| Other Organization Name | MAPLETON FAMILY PRACTICE |
| Practice Address |
305 Main St Ne Mapleton MN 56065 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 5075243835 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | RANDY FARROW (CEO) |
| Authorized Official Telephone | 5073898501 |
| Is Organization Subpart | Y |
| Parent Organization Name | MANKATO CLINIC, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Mapleton Family Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558652362 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 221 S Murphy St, Lake Crystal, MN 56055-2128 | 2011-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANKATO CLINIC, LTD. | 1230 E Main St, Mankato, MN 56001-5066 |
| Street Address |
305 MAIN ST NE |
| City | MAPLETON |
| State | MN |
| Zip Code | 56065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796633 | Maple River Schools | Local Education Agency (LEA) | 101 6th Avenue North East, Mapleton, MN 56065 | 2006-11-13 |
| 1538154166 | Hart Wellness Inc | Pharmacy | 404 Main St E, Mapleton, MN 56065 | 2005-09-20 |
| 1952516387 | Ecumen | Assisted Living Facility | 206 3rd Ave Ne, Mapleton, MN 56065 | 2007-05-11 |
| 1922555655 | The Beacon At Mapeton | Assisted Living Facility | 206 3rd Ave Ne, Mapleton, MN 56065-2008 | 2016-09-11 |
| 1104057926 | Mankato Clinic Ltd | Family Medicine | 305 Main St E, Mapleton, MN 56065-2060 | 2009-07-28 |
| 1588683221 | Jeffrey John Taylor | Dentist | 313 Main St W, Mapleton, MN 56065-2062 | 2006-07-19 |
| 1194730853 | Mapleton Community Home | Skilled Nursing Facility | 301 Troendle St Sw, Mapleton, MN 56065-9744 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000901 | Rochelle Rieck | Nurse Practitioner | 4183 153rd Ave Se, Mapleton, ND 58059-9625 | 2020-10-12 |
| 1578179768 | Landon Otto Jarvies | Massage Therapist | 2254 W 325 S, Mapleton, UT 84664-4312 | 2020-09-22 |
| 1417565508 | Mackenzie Carlson | Speech-Language Pathologist | 300 1st St, Mapleton, ND 58059-9605 | 2020-07-15 |
| 1043837404 | Madison Rae Groberg | Student in an Organized Health Care Education/Training Program | 195 W 1200 N, Mapleton, UT 84664-3402 | 2020-07-01 |
| 1073153516 | Mapleton Opco LLC | Assisted Living Facility | 1483 W 800 S, Mapleton, UT 84664-5672 | 2020-01-13 |
| 1598303042 | Susan Beckman | Counselor | 4821 S Lake Camelot Dr, Mapleton, IL 61547-9550 | 2019-12-16 |
| 1801446851 | Kara Sylvester | Lactation Consultant, Non-RN | 10274 W Lake Camelot Dr, Mapleton, IL 61547-9522 | 2019-09-11 |
| 1669027793 | Genevieve Marie Leetham | Nurse Practitioner | 1134 E Maple St, Mapleton, UT 84664 | 2019-08-06 |
| 1124594676 | Levi J Bailey | Counselor | 853 S Crescent Row, Mapleton, UT 84664-5503 | 2018-10-22 |
| 1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
| Find all providers in MAPLETON | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | 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.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1598075012 | Lakeview Memorial Hospital Assn, Inc. | Non-Pharmacy Dispensing Site | 927 West Churchill St, Stillwater, MN 55082 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.