Willmar Medical Services, LLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

327471 Issued in MN

Legal business name

WILLMAR MEDICAL SERVICES, LLP

Practice address

1320 1St St S
Willmar, MN 56201-4242

Phone

(320) 235-6506

Fax

(320) 235-7069

NPI assigned

Feb 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry Tone

Title

Administrator

Phone

(320) 231-6766

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1265404115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 1ST ST S",
            "address_2": "PO BOX 773",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014242",
            "telephone_number": "320-235-6506",
            "fax_number": "320-235-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014242",
            "telephone_number": "320-235-6506",
            "fax_number": "320-235-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMAR MEDICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-05",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "TONE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-231-6766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "327471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MN",
            "identifier": "8816WI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369312100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willmar Family Dentistry, P.a.
• Willmar Family Dentistry, PA
• Willmar Foot & Ankle Clinic
• Willmar Hearing Aid Center Inc
• Willmar Isd 347
• Willmar Regional Treatment Center
• Willmar Works, Inc
• Pailey Wilner
• Payton Marie Wilner
• Stephanie Lynn Wimmer, LMFT

• Ambulatory Surgical Clinic/Center in Willmar, MN
• Providers in Willmar, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.