NPIMap

Organization Active NPI

Southern Cities Clinic

  • Public Health Dentistry
  • Faribault, MN
National Provider Identifier
1326904756
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
SOUTHERN CITIES CLINIC
Practice address
400 4TH St NW Ste a
Faribault, MN 55021-5090
Phone
(507) 384-6830
Fax
(651) 431-7757
NPI assigned
Dec 30, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN CITIES COMMUNITY HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Melissa Ells, PHARMDNPI 1164728028
Title
Executive Director Ambulatory Servi
Phone
(651) 539-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

400 4TH St NW Ste a
Faribault, MN 55021-5090

Mailing address

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186
Phone (651) 539-7200

National Provider Directory

National Provider Directory
Tax ID family
Southern Cities Clinic3 organizations share this tax ID, including this one
Part of
Southern Cities Clinic

Other organizations with this tax ID 2

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

Locations

400 4th St NW
Ste A
Faribault, MN 55021
Phone (507) 384-6830

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1326904756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186",
            "telephone_number": "651-539-7200",
            "fax_number": "651-431-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 4TH ST NW STE A",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215090",
            "telephone_number": "507-384-6830",
            "fax_number": "651-431-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CITIES CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN CITIES COMMUNITY HEALTH CLINIC",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ELLS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AMBULATORY SERVI",
        "authorized_official_telephone_number": "651-539-7200",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.