NPIMap

Organization Active NPI

Independent Management Services of MN, Inc.

  • Community/Behavioral Health Agency
  • Austin, MN
National Provider Identifier
1255472957
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INDEPENDENT MANAGEMENT SERVICES OF MN, INC.
Practice address
101 21St St SE Ste 1
Austin, MN 55912-4322
Phone
(507) 437-6389
Fax
(507) 437-0977
NPI assigned
Feb 8, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Thomas ThorsonNPI 1225326705
Title
Chief Executive Officer
Phone
(507) 437-6389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

101 21St St SE Ste 1
Austin, MN 55912-4322

Mailing address

101 21St St SE Ste 1
Austin, MN 55912-4322
Phone (507) 437-6389

Other practice location 1

709 Algon St
Albert Lea, MN 56007-2069
Phone (507) 437-6389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160125000954 MN Part B Supplier - Clinic/Group Practice 1658674775 Receives reassigned benefits from 13 practitioners
Practice locations: Austin, MN; Albert Lea, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2245116Independent Management Services of MN Inc101 21St St SE, Austin, MN 55912Certificate of waiverDec 8, 2027
24D2245117Independent Management Services of MN Inc709 Algon Street, Albert Lea, MN 56007Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

709 Algon St
Albert Lea, MN 56007
Phone (507) 396-4477

101 21st St SE
Ste 1
Austin, MN 55912
Phone (507) 437-6389

109 11th Ave NE
#C
Austin, MN 55912

111 N Main St
Austin, MN 55912
Phone (507) 355-0354

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1255472957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 21ST ST SE STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124322",
            "telephone_number": "507-437-6389",
            "fax_number": "507-437-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 21ST ST SE STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124322",
            "telephone_number": "507-437-6389",
            "fax_number": "507-437-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Algon St",
            "address_purpose": "LOCATION",
            "city": "Albert Lea",
            "state": "MN",
            "postal_code": "560072069",
            "country_code": "US",
            "telephone_number": "507-437-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENT MANAGEMENT SERVICES OF MN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "507-437-6389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.