Active NPI
Southwestern Minnesota Opportunity Council, Inc CTC
- Public Health or Welfare Agency
- Worthington, MN
National Provider Identifier
1215012059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC CTC
- Practice address
- 909 4TH Ave
Worthington, MN 56187-2326 - Phone
- (507) 376-4195
- Fax
- (507) 372-4214
- NPI assigned
- Oct 26, 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
- Miss Lori C Klooster, RN
- Title
- Health Services Director
- Phone
- (507) 376-4195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
909 4TH Ave
Worthington, MN 56187-2326
Mailing address
909 4TH Ave
PO Box 787
Worthington, MN 56187-2326
Phone (507) 376-4195
National Provider Directory
National Provider Directory- Tax ID family
- Southwestern Minnesota Opportunity Counc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Surgical Family Planning Clinic/Center
- Worthington, MN
- NPI 1336237700
-
- Multi-Specialty Clinic/Center
- Worthington, MN
- NPI 1568505493
Locations
909 4th Ave
Worthington, MN 56187
Phone (507) 376-4195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215012059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 4TH AVE",
"address_2": "PO BOX 787",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872326",
"telephone_number": "507-376-4195",
"fax_number": "507-372-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 4TH AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872326",
"telephone_number": "507-376-4195",
"fax_number": "507-372-4214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC CTC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLOOSTER",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "HEALTH SERVICES DIRECTOR",
"authorized_official_telephone_number": "507-376-4195",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, MN
- Southshore Operations, LLC (South Shore Care Center)
- Southwest Chiropractic Clinic of Worthington, PA
- Southwest Hearing Aid Center Inc
- Southwest Hearing Technologies, Inc.
- Southwestern Minnesota Adult Mental Health Consortium (Southwinds Assertive Community Treatment)
- Southwestern Minnesota Opportunity Council, Inc.
- Southwestern Minnesota Opportunity Council, Inc.
- Sabrina Sowles
- Specialized Vocational Services, Inc
- Specnique by Stephanie Thier OD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.