RANDALL LAKES AREA CLINIC – NPI #1336359009
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

RANDALL LAKES AREA CLINIC is an AHC clinic located in RANDALL, MN. NPPES has assigned the NPI number 1336359009 to RANDALL LAKES AREA CLINIC on May 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RANDALL LAKES AREA CLINIC” is a dba name, the actual legal business name for this organization is UNITY FAMILY HEALTHCARE. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Nov 28, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL LAKES AREA CLINIC below.

NPI Profile for
UNITY FAMILY HEALTHCARE

NPI Number
1336359009
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNITY FAMILY HEALTHCARE
Doing Business As (dba): RANDALL LAKES AREA CLINIC
Primary location
250 WHITE OAK DRIVE
RANDALL, MN 56475
Phone: (320) 749-2877 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - RANDALL LAKES AREA CLINIC is subpart of another organization.
Authorized Official
STEVEN SMITH
VICE PRESIDENT OF FINANCE
Phone: (320) 631-5670
Updated
Identifiers

Identifiers for RANDALL LAKES AREA CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMMN640K9RA
OTHERRHC PROVIDER NUMBERMN24-3447
MEDICAIDMN040760700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.