Hendricks Clinic Pa
LBN: Hendricks Clinic Pa
Hendricks Clinic Pa is an health care organization with primary practice located at 501 E Lincoln St , Hendricks MN 56136-0026. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Hendricks Clinic Pa can be contacted via phone (507) 275-3121, or through Mccluskey, Tabb L via phone (507) 275-3121.
Contact Information
Primary practice address
501 E Lincoln St
Hendricks MN 56136-0026
Phone: (507) 275-3121
Fax: (507) 275-3194
Website:
Authorized official contact:
Name: Mccluskey, Tabb L Doctor of Osteopathy (DO)
Phone: (507) 275-3121
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 1757969 | Minnesota |
Profile Details
| NPI number | 1104850510 |
|---|---|
| LBN Legal business name | Hendricks Clinic Pa |
| DBA Doing business as | |
| Authorized official | Mccluskey, Tabb L Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 28th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104850510 | NPPES |
| Minnesota | MEDICAID | 232816000 |
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