NPIMap

Organization Active NPI

Centracare Health Services of Melrose

Doing business as Melrose Clinic

  • Rural Health Clinic/Center
  • Melrose, MN
National Provider Identifier
1366675134
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
342768 Issued in MN
Legal business name
CENTRACARE HEALTH SERVICES OF MELROSE
Doing business as
Melrose Clinic
Practice address
525 W Main St
Melrose, MN 56352-1043
Phone
(320) 256-4231
Fax
(320) 256-4949
NPI assigned
Aug 27, 2009
Last updated
Jun 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Mr. Greg Klugherz
Title
Cfo
Phone
(320) 255-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 342768 MN Primary

Addresses

Primary practice location

525 W Main St
Melrose, MN 56352-1043

Mailing address

525 W Main St
Melrose, MN 56352-1043
Phone (320) 256-4231

Other names 1

  • Melrose Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centracare Health System3 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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1366675134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521043",
            "telephone_number": "320-256-4231",
            "fax_number": "320-256-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521043",
            "telephone_number": "320-256-4231",
            "fax_number": "320-256-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRACARE HEALTH SERVICES OF MELROSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "KLUGHERZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-255-5665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MN",
            "license": "342768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melrose Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.