SOUTHDALE ADDICTION CLINIC
NPI 1154839660
Clinic/Center in Sartell, MN

Q: What is Vandalia Health, PLLC's NPI number?

The NPI number for Vandalia Health, PLLC is 1154839660. It was assigned to this organization in the NPPES registry on January 18, 2018. The provider is doing business as Southdale Addiction Clinic and Dr. Green.

Q: What is Vandalia Health, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 18, 2018

2304 WYOMING CT, SARTELL, MN 56377(320) 200-9547 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Jan 18, 2018 (2 updates tracked since 2018).

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About Southdale Addiction Clinic NPPES

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

SOUTHDALE ADDICTION CLINIC (NPI 1154839660) is a healthcare organization registered as a clinic/center in Sartell, Minnesota and active in the NPI registry since January 2018. The organization lists Cody W Wendlandt, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154839660

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameVANDALIA HEALTH, PLLC

Location Address2304 WYOMING CTSartell, MN 56377-4562

Mailing Address2304 Wyoming CtSartell, MN 56377-4562 · (320) 200-9547

Phone(320) 200-9547

Organization SubpartNo

Authorized OfficialCody W WendlandtMedical Director · (320) 200-9547

Enumeration DateJanuary 18, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1154839660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2304 WYOMING CT, Sartell, MN 56377

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Other Names 2

Doing Business AsSouthdale Addiction Clinic

Doing Business AsDr. Green

Other Providers at the Same Location NPPES

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

DR. CODY WAYNE WENDLANDT MD

Family Medicine

2304 WYOMING CT
SARTELL, MN 56377

Stearns County (320) 200-9547

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 Vandalia Health, PLLC's NPI number?

The NPI number for Vandalia Health, PLLC is 1154839660. It was assigned to this organization in the NPPES registry on January 18, 2018. The provider is doing business as Southdale Addiction Clinic and Dr. Green.

Where is Vandalia Health, PLLC located?

Vandalia Health, PLLC is located at 2304 Wyoming Ct, Sartell, MN 56377. The listed phone number is (320) 200-9547.

What is Vandalia Health, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vandalia Health, PLLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.