HENDRICKS CLINIC, P.A.
NPI 1376760777
Clinic/Center in Ivanhoe, MN

Active since April 19, 2007
366 E GEORGE ST, IVANHOE, MN 56142(507) 694-1100 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hendricks Clinic, P.a. NPPES

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

HENDRICKS CLINIC, P.A. (NPI 1376760777) is a healthcare organization registered as a clinic/center in Ivanhoe, Minnesota and active in the NPI registry since April 2007. The organization lists Tabb Mccluskey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1376760777
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIVANHOE MEDICAL CENTER
Location Address366 E GEORGE STIvanhoe, MN 56142-9707
Mailing Address366 E George St, Po Box 43Ivanhoe, MN 56142-9707 · (507) 694-1100
Organization SubpartYesParent: Hendricks Clinic P.a.
Authorized OfficialTabb MccluskeyMedical Director · (507) 275-2295
Enumeration DateApril 19, 2007
Last NPPES UpdateNovember 27, 2007
NPI 1376760777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MN · 1757969
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).
366 E GEORGE ST, Ivanhoe, MN 56142

Other Names 1

Doing Business AsHendricks Clinic, P.a.

Other Identifiers 2

Medicaid232816000MN
Medicare ID-Type UnspecifiedC07204MN

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 of Waiver 24D1068788

Ivanhoe Medical Center · Ivanhoe, MN
Expired · Aug 9, 2026
CLIA Number24D1068788
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorTabb D. Mccluskey
Laboratory Phone(507) 694-1100
Laboratory LocationIvanhoe Medical Center315 N Norman St, Ivanhoe, MN 56142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Chiropractor
366 E GEORGE ST
IVANHOE, MN 56142
Audiologist-Hearing Aid Fitter
366 E GEORGE ST
IVANHOE, MN 56142
Nurse Practitioner (Family)
366 E GEORGE ST
IVANHOE, MN 56142
Pharmacy (Community/Retail Pharmacy)
366 E GEORGE ST, SUITE 1
IVANHOE, MN 56142

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 Ivanhoe Medical Center's NPI number?

The NPI number for Ivanhoe Medical Center is 1376760777. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Hendricks Clinic, P.A..

Where is Ivanhoe Medical Center located?

Ivanhoe Medical Center is located at 366 E George St, Ivanhoe, MN 56142. The listed phone number is (507) 694-1100.

What is Ivanhoe Medical Center'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 Ivanhoe Medical Center was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.