Southern Cities Clinic

LBN: Southern Cities Clinic
Southern Cities Clinic is an health care organization with primary practice located at 400 4Th St Nw , Faribault MN 55021-5031. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Southern Cities Clinic can be contacted via phone (507) 384-6830, or through Cardinal, Kimmerly via phone (651) 431-3693.

Contact Information

Primary practice address
400 4Th St Nw Faribault MN 55021-5031
Phone: (507) 384-6830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cardinal, Kimmerly
Phone: (651) 431-3693

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1437218740
LBN Legal business name Southern Cities Clinic
DBA Doing business as
Authorized official Cardinal, Kimmerly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 9th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437218740 NPPES
Minnesota MEDICAID 496053000

Popular Providers