NPIMap

Organization Active NPI

Affiliated Community Medical Centers, LTD

  • Multi-Specialty Clinic/Center
  • Willmar, MN
National Provider Identifier
1952363699
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
1309 Issued in MN
Legal business name
AFFILIATED COMMUNITY MEDICAL CENTERS, LTD
Practice address
101 Willmar Ave SW
Affiliated Community Medical Centers
Willmar, MN 56201-3556
Phone
(320) 231-5079
Fax
(320) 231-5067
NPI assigned
Apr 6, 2006
Last updated
Jan 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Cindy F Smith, MD
Title
Ceo
Phone
(320) 231-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1309 MN Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

101 Willmar Ave SW
Affiliated Community Medical Centers
Willmar, MN 56201-3556

Mailing address

101 Willmar Ave SW
Affiliated Community Medical Centers
Willmar, MN 56201-3556
Phone (320) 231-5079

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Carris Health LLC

    dba CentraCare Willmar Surgery Center

    • Ambulatory Surgical Clinic/Center
    • Willmar, MN
    • NPI 1902319478

    Member Of

    NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1805 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-2030

295 10th Ave
Granite Falls, MN 56241
Phone (320) 564-2511

1420 E College Dr
Marshall, MN 56258
Phone (507) 532-5771

1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101

1604 1st St S
Ste 100
Willmar, MN 56201
Phone (320) 214-6908

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1952363699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLMAR AVE SW",
            "address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013556",
            "telephone_number": "320-231-5079",
            "fax_number": "320-231-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLMAR AVE SW",
            "address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013556",
            "telephone_number": "320-231-5079",
            "fax_number": "320-231-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED COMMUNITY MEDICAL CENTERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-231-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MN",
            "license": "1309",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.