MANKATO CLINIC EXPRESS, LLC
NPI 1265626964
Physician Assistant in Mankato, MN
NPI Status: Active since September 05, 2007
Contact Information
1850 ADAMS ST
SUITE 130
MANKATO, MN
ZIP 56001
Phone: (507) 625-1811
- Organization
- Physician Assistant
- CLIA Number: 24D2030769
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-04-2026
About MANKATO CLINIC EXPRESS, LLC
This page provides the complete NPI Profile along with additional information for Mankato Clinic Express, Llc, a primary care provider established in Mankato, Minnesota operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1265626964 assigned on September 2007. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Mankato Clinic Express, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Randy Farrow (Chief Executive Officer)
- NPI
- 1265626964
- Provider Name
- MANKATO CLINIC EXPRESS, LLC
- Entity Type
- Organization
- Location Address
- 1850 ADAMS ST SUITE 130 MANKATO, MN 56001
- Location Phone
- (507) 625-1811
- Mailing Address
- 1850 ADAMS ST SUITE 130 MANKATO, MN 56001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2007
- Last Update Date
- 11-12-2009
- Code Navigator
A primary care provider (PCP) like Mankato Clinic Express, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2030769
- Facility Type
- Physician Office
- Certificate Effective Date
- September 05, 2024
- Certificate Expiration Date
- September 04, 2026
- Laboratory Director
- DANIEL MILLER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mankato Clinic Express, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 6 | 2 | 6 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 12 | 2 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 2 + 2 + 1 + 2 + 9 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1265626964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780883710 | MIRACLE EAR Organization | Audiologist-Hearing Aid Fitter | 1850 ADAMS ST SUITE 5 MANKATO, MN 56001 (507) 388-5624 |
| 1609161504 | JEROME BORTH R.PH. Individual | Pharmacist | 1850 ADAMS ST TARGET STORE T0663 MANKATO, MN 56001 (507) 625-9009 |
| 1497033096 | DR. LINDA ELIZABETH EVENSON PHARMD Individual | Pharmacist | 1850 ADAMS ST T-0663 MANKATO, MN 56001 (507) 625-9009 |
| 1265719744 | CHARLES RAFFERTY RPH Individual | Pharmacist | 1850 ADAMS ST MANKATO, MN 56001 (507) 625-9009 |
| 1083995260 | AUDRA LEE POGGI PHARM. D. Individual | Pharmacist | 1850 ADAMS ST T-0663 MANKATO, MN 56001 (507) 625-9009 |
| 1942577275 | VISIONWORKS, INC. Organization | Eyewear Supplier | 1850 ADAMS ST SUITE #112 MANKATO, MN 56001 (507) 387-6358 |
| 1275949356 | TINA GRAPENTINE Individual | Pharmacist | 1850 ADAMS ST T-0663 MANKATO, MN 56001 (952) 201-2516 |
| 1770505455 | GRAND ST PAUL CVS LLC Organization | Pharmacy | 1850 ADAMS ST MANKATO, MN 56001 (507) 625-9009 |
| 1225633159 | DR. OLUMAMI O AMAYE PHARMD Individual | Pharmacist | 1850 ADAMS ST MANKATO, MN 56001 (507) 625-9009 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265626964, enumerated in the NPI registry as an "organization" on September 05, 2007
The provider is located at 1850 Adams St Suite 130 Mankato, Mn 56001 and the phone number is (507) 625-1811
This medical organization specializes in Physician Assistant with taxonomy code 363A00000X
The provider's CLIA number is 24D2030769 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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