425 N BADGER STREET CALEDONIA OPCO LLC – NPI #1962980177
Clinic/Center

425 N BADGER STREET CALEDONIA OPCO LLC is an AHC clinic located in CALEDONIA, MN. NPPES has assigned the NPI number 1962980177 to 425 N BADGER STREET CALEDONIA OPCO LLC on July 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

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 425 N BADGER STREET CALEDONIA OPCO LLC below.

NPI Profile for
425 N BADGER STREET CALEDONIA OPCO LLC

NPI Number
1962980177
Enumeration Date

(about 8 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
425 N BADGER STREET CALEDONIA OPCO LLC
Primary location
425 N BADGER ST
CALEDONIA, MN 55921-1567
Phone: (507) 725-3351 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK MYERS
MANAGER
Phone: (507) 725-3351
Updated
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
261QA0600X
- Clinic/Center / Adult Day Care (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.