Organization Active NPI

Southwestern Minnesota Opportunity Council, Inc.

  • Multi-Specialty Clinic/Center
  • Worthington, MN
National Provider Identifier
1568505493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC.
Practice address
909 4TH Ave
Worthington, MN 56187-2326
Phone
(504) 376-4195
Fax
(507) 372-4214
NPI assigned
Feb 14, 2007
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
Multi-Specialty Clinic/Center 261QM1300X 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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568505493",
    "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": "504-376-4195",
            "fax_number": "507-372-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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.