Ortonville Area Health Services
Organization Active NPI Primary Care Clinic/Center · Clinton, MN
NPI 1174868285 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1174868285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- ORTONVILLE AREA HEALTH SERVICES
- Practice address
- 324 Main St
Clinton, MN 56225 - Phone
- (320) 325-5217
- NPI assigned
- Nov 29, 2012
- Organization subpart
- No
Authorized official
- Name
- David Rogers
- Title
- Administrator
- Phone
- (320) 839-4127
Corporate family (same tax ID) 7
Practitioners 10
-
Erika Marie Caslin, APRN,CNP
-
Kiana Conrad, CNP
-
Tracy Lynn Dozak, NP-C
-
Amee Gibson, DPM
-
Hannah Jane Johnson, DNP, APRN, FNP-BC
-
Ashleigh Marie Neuman, FNP-C
-
Jay M Schmidt, M.D.
-
Sheila Diane Bullock, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1036478 | Clinton Clinic | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
- Tax ID family
- Ortonville Area Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MN | ||
| Primary Care Clinic/Center | 261QP2300X | MN | Yes |
Addresses
Primary practice location
324 Main St
Clinton, MN 56225
Mailing address
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502
Other names
- Clinton Clinic
Other providers in Clinton, MN
All providers in Clinton, MN · Primary Care Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.