1. Home
  2. Directory
  3. Minnesota
  4. Fairmont
  5. Clinic Center
  6. NPI Profile

FAIRMONT ASC
NPI 1114374469
Clinic/Center - Ambulatory Surgical in Fairmont, MN

Active since May 17, 2016CLIA Certified · 2 labs
717 S STATE ST, STE 1000, FAIRMONT, MN 56031(507) 235-3939 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, May 17, 2016 (2 updates tracked since 2016).

About Fairmont Asc NPPES

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

FAIRMONT ASC (NPI 1114374469) is a healthcare organization registered as an ambulatory surgical in Fairmont, Minnesota and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Corey T Welchlin, Owner President, as its authorized official.

NPPES Registry Identity

NPI1114374469
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH
Location Address717 S STATE ST, STE 1000Fairmont, MN 56031-4469
Mailing Address717 S State St, Ste 900Fairmont, MN 56031-4469
Phone(507) 235-3939
Organization SubpartNo
Authorized OfficialCorey T WelchlinOwner President · (507) 238-4949
Enumeration DateMay 17, 2016
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1114374469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
717 S STATE ST, Fairmont, MN 56031
Open in Google Maps ↗

Other Names 1

Doing Business AsFairmont Asc

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1101555

South Central Surgical Center · Fairmont, MN
Active · expires Jun 29, 2027
CLIA Number24D1101555
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorAmanda Gunthmiller
Laboratory Phone(507) 238-4949
Laboratory LocationSouth Central Surgical Center717 S State St, Ste 1000, Fairmont, MN 56031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2254973

Southern Minnesota Skin Smss PLLC Dba Skin Solutions · Fairmont, MN
Active · expires Mar 8, 2028
CLIA Number24D2254973
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorMckenzie L. Terfehr
Laboratory Phone(507) 399-2099
Laboratory LocationSouthern Minnesota Skin Smss PLLC Dba Skin Solutions757 S State St Suite 1, Fairmont, MN 56031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JOSEPH ROBERT ANGSTMAN PTA
Physical Therapy Assistant
717 S STATE ST, SUITE 900
FAIRMONT, MN 56031
Martin County (507) 238-4949
DR. FREDRICK D CARLSON DDS
Dentist
717 S STATE ST, STE 700
FAIRMONT, MN 56031
Martin County (507) 238-1883
JOSEPH MICHAEL KLICK CRNA
Nurse Anesthetist, Certified Registered
717 S STATE ST, STE 100
FAIRMONT, MN 56031
Martin County (507) 235-3939
JAMES RICHARD HITCHCOCK
Physical Therapist
717 S STATE ST, SUITE 900
FAIRMONT, MN 56031
Martin County (507) 238-4949
FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA
Specialist
717 S STATE ST, SUITE 900
FAIRMONT, MN 56031
Martin County (507) 238-4949
KENT MICHAEL PATRICK MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
717 S STATE ST, SUITE 900
FAIRMONT, MN 56031
Martin County (507) 238-4949
CARLSON DENTAL OFFICE PA
Dentist
717 S STATE ST, STE 700
FAIRMONT, MN 56031
Martin County (507) 238-1883
CHRISTOPHER L. OLSEN, DDS PLLC
Clinic/Center (Dental)
717 S STATE ST, SUITE #2
FAIRMONT, MN 56031
Martin County (507) 235-5985

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 South's NPI number?

The NPI number for South is 1114374469. It was assigned to this organization in the NPPES registry on May 17, 2016. The provider is doing business as Fairmont ASC.

Where is South located?

South is located at 717 S State St Ste 1000, Fairmont, MN 56031. The listed phone number is (507) 235-3939.

What is South's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does South hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for South was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.