NPIMap

Organization Active NPI

Madelia Health

  • Rural Health Clinic/Center
  • Lake Crystal, MN
National Provider Identifier
1861185282
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MADELIA HEALTH
Practice address
200 E Prince St
Lake Crystal, MN 56055-2043
Phone
(507) 726-2136
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Samantha Knakmuhs
Title
Credentialing Coordinator
Phone
(507) 642-3255

Specialties & licenses 1

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

Addresses

Primary practice location

200 E Prince St
Lake Crystal, MN 56055-2043

Mailing address

121 Drew Ave SE
Madelia, MN 56062-1841
Phone (507) 642-3255

Other names 1

  • Madelia Health - Lake Crystal Doing business as

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
24D0404977Madelia Health - Lake Crystal200 E Prince St, Lake Crystal, MN 56055AccreditationDec 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Madelia Community Ambul6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1861185282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PRINCE ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552043",
            "telephone_number": "507-726-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELIA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "KNAKMUHS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "507-642-3255"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madelia Health - Lake Crystal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.