HENDRICKS CLINIC PA
NPI 1104850510
Family Medicine in Hendricks, MN

Active since July 10, 2006
501 E LINCOLN ST, HENDRICKS, MN 56136(507) 275-3121(507) 275-3194 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hendricks Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDRICKS CLINIC PA (NPI 1104850510) is a healthcare organization registered as a family medicine in Hendricks, Minnesota and active in the NPI registry since July 2006. The organization lists Tabb L Mccluskey, Owner President, as its authorized official.

NPPES Registry Identity

NPI1104850510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHENDRICKS CLINIC PA
Location Address501 E LINCOLN STHendricks, MN 56136-0026
Mailing Address501 E Lincoln St, Po Box 26Hendricks, MN 56136-0026 · (507) 275-3121 · Fax (507) 275-3194
Fax(507) 275-3194
Organization SubpartNo
Authorized OfficialTabb L MccluskeyOwner President · (507) 275-3121
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 28, 2009
NPI 1104850510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 1757969 (MN)
501 E LINCOLN ST, Hendricks, MN 56136

Other Identifiers 3

Medicaid232816000MN
Medicare OSCAR/certification243826
Medicare ID-Type UnspecifiedC07204MN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
501 E LINCOLN ST
HENDRICKS, MN 56136
Nurse Practitioner (Family)
501 E LINCOLN ST
HENDRICKS, MN 56136
Nurse Practitioner (Family)
501 E LINCOLN ST
HENDRICKS, MN 56136
Family Medicine
501 E LINCOLN ST
HENDRICKS, MN 56136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hendricks Clinic PA's NPI number?

The NPI number for Hendricks Clinic PA is 1104850510. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Hendricks Clinic PA located?

Hendricks Clinic PA is located at 501 E Lincoln St, Hendricks, MN 56136. The listed phone number is (507) 275-3121.

What is Hendricks Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Hendricks Clinic PA was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.