Centracare Clinic Southwest LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CENTRACARE CLINIC SOUTHWEST LLC

Doing business as

CentraCare New London

Practice address

600 Peterson Pkwy
New London, MN 56273-7823

Phone

(320) 354-2222

Fax

(320) 354-2274

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By 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

Caryn McGreary

Title

Sr. Director of Clinics

Phone

(320) 354-2222

Specialties & licenses 1

Addresses

Other names 1

• CentraCare New London Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1982441853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETERSON PKWY",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737823",
            "telephone_number": "320-354-2222",
            "fax_number": "320-354-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRACARE CLINIC SOUTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MCGREARY",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "SR. DIRECTOR OF CLINICS",
        "authorized_official_telephone_number": "320-354-2222"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraCare New London",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3Rd Opinion Co.
• Benedictine Living Community of New London
• Bethesda (Bethesda Therapy)
• Bethesda North Pointe
• City of New London (New London Ambulance)
• Coborns Inc (Cash Wise Clinic Pharmacy)
• Candace Jo Eck, LAC
• Fischer Laser Eye Center, LLC (Family Eye Center)
• Nicholas Goelz

• Non-Pharmacy Dispensing Site in New London, MN
• Providers in New London, MN by specialty
• Non-Pharmacy Dispensing Site in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.