425 N Badger Street Caledonia Opco LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

425 N BADGER STREET CALEDONIA OPCO LLC

Practice address

425 N Badger St
Caledonia, MN 55921-1567

Phone

(507) 725-3351

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Myers

Title

Manager

Phone

(507) 725-3351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1962980177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N BADGER ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N BADGER ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211567",
            "telephone_number": "507-725-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "425 N BADGER STREET CALEDONIA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-725-3351"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 425 N Badger Street Caledonia Opco LLC
• Astrup Drug Inc (Sterling 26)
• Astrup Drug Inc (Sterling #26)
• Kristin Ann Buege, D.C.
• Erich Burt
• Caledonia Drugs

• Adult Day Care Clinic/Center in Caledonia, MN
• Providers in Caledonia, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.