Organization Active NPI

Southwestern Minnesota Opportunity Council, Inc CTC

  • Public Health or Welfare Agency
  • Worthington, MN
National Provider Identifier
1215012059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Counc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.