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

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  • 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 17 years ago. Mankato Clinic Express, Llc operates as a Multi-Specialty Group with one or more individual practitioners, 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RANDY FARROW

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(507) 389-8501

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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265626964, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 2 + 1 + 2 + 9 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265626964.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Audiologist-Hearing Aid Fitter
1850 ADAMS ST, SUITE 5
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST, TARGET STORE T0663
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST, T-0663
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST, T-0663
MANKATO, MN 56001
Eyewear Supplier
1850 ADAMS ST, SUITE #112
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST, T-0663
MANKATO, MN 56001
Pharmacy
1850 ADAMS ST
MANKATO, MN 56001
Pharmacist
1850 ADAMS ST
MANKATO, MN 56001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265626964, enumerated 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.

Physician Assistant with taxonomy code 363A00000X.