1. Home
  2. Directory
  3. Minnesota
  4. Ortonville
  5. Family Medicine
  6. NPI Profile

NORTHSIDE MEDICAL CENTER, PLC
NPI 1265401681
Family Medicine in Ortonville, MN

Active since March 16, 2006CLIA 24D0716060 · Microscopy
465 EASTVOLD AVE, ORTONVILLE, MN 56278(320) 839-6157(320) 839-3851 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northside Medical Center, Plc NPPES

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

NORTHSIDE MEDICAL CENTER, PLC (NPI 1265401681) is a healthcare organization registered as a family medicine in Ortonville, Minnesota and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Liz M Sorenson, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1265401681
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHSIDE MEDICAL CENTER, PLC
Location Address465 EASTVOLD AVEOrtonville, MN 56278-1107
Mailing Address465 Eastvold AveOrtonville, MN 56278-1107 · (320) 839-6157 · Fax (320) 839-3851
Phone(320) 839-6157
Fax(320) 839-3851
Organization SubpartNo
Authorized OfficialLiz M SorensonClinic Administrator · (320) 839-6157
Enumeration DateMarch 16, 2006
Last NPPES UpdateDecember 8, 2008
✔ NPI 1265401681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
465 EASTVOLD AVE, Ortonville, MN 56278
Open in Google Maps ↗

Other Identifiers 6

Other01011119MN · Preferred One
Other05647NOMN · Bcbs Of Mn
Medicaid794447100MN
Other106639MN · Ucare Of Minnesota
Medicare ID-Type UnspecifiedC029029MN · Group I.d.
OtherCJ3171MN · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 24D0716060

Northside Medical Clinic · Ortonville, MN
Active · expires Aug 31, 2026
CLIA Number24D0716060
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid J. Collins
Laboratory Phone(320) 839-6157
Laboratory LocationNorthside Medical Clinic465 Eastvold Avenue, Ortonville, MN 56278
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northside Medical Center, Plc's NPI number?

The NPI number for Northside Medical Center, Plc is 1265401681. It was assigned to this organization in the NPPES registry on March 16, 2006.

Where is Northside Medical Center, Plc located?

Northside Medical Center, Plc is located at 465 Eastvold Ave, Ortonville, MN 56278. The listed phone number is (320) 839-6157.

What is Northside Medical Center, Plc's specialty?

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

Does Northside Medical Center, Plc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D0716060) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northside Medical Center, Plc was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.