SOUTHERN CITIES CLINIC – NPI #1437218740
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SOUTHERN CITIES CLINIC is a provider located in FARIBAULT, MN. NPPES has assigned the NPI number 1437218740 to SOUTHERN CITIES CLINIC on December 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 28, 2026. 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 SOUTHERN CITIES CLINIC below.

NPI Profile for
SOUTHERN CITIES CLINIC

NPI Number
1437218740
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
SOUTHERN CITIES CLINIC
Primary location
400 4TH ST NW
FARIBAULT, MN 55021-5031
Phone: (507) 384-6830 Fax:
1 Other location(s):
200 Western Ave NW
Faribault, MN 55021-4510
Phone: (507) 333-2028
Mailing address
3200 LABORE RD STE 104
VADNAIS HEIGHTS, MN 55110-5186
Phone: Fax:
Organization Subpart
No
Authorized Official
MELISSA ELLS
AMBULATORY CARE EXECUTIVE DIRECTOR
Phone: (651) 539-7200
Updated
Certification Date
Jan 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHERN CITIES 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
medicaidMN496053000
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
208D00000X
- General Practice (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.