Active NPI
Winona Clinic LTD
- Clinic/Center
- Winona, MN
National Provider Identifier
1164527834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WINONA CLINIC LTD
- Practice address
- 859 Mankato Ave
Winona, MN 55987-4868 - Phone
- (507) 454-3680
- Fax
- (507) 457-7672
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Lenertz
- Title
- Administrator
- Phone
- (507) 457-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
859 Mankato Ave
Winona, MN 55987-4868
Mailing address
859 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3680
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1164527834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-454-3680",
"fax_number": "507-457-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-454-3680",
"fax_number": "507-457-7672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINONA CLINIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "LENERTZ",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "507-457-7722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.