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STARBUCK CLINIC
NPI 1417105552
Clinic/Center in Starbuck, MN

Active since September 03, 2008CLIA 24D1038677 · Certificate of Compliance
501 POLER ST, STARBUCK, MN 56381(320) 239-3939(320) 239-2802 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, Dec 3, 2018, Nov 20, 2018 and 1 more (4 updates tracked since 2018).

About Starbuck Clinic NPPES

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

STARBUCK CLINIC (NPI 1417105552) is a healthcare organization registered as a clinic/center in Starbuck, Minnesota and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 30, 2027 and lists Kerrie Mcevilly, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1417105552
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTEVENS COMMUNITY MEDICAL CENTER INC.
Location Address501 POLER STStarbuck, MN 56381-2456
Mailing Address400 E. 1st StreetMorris, MN 56267 · (320) 239-3939 · Fax (320) 239-2802
Phone(320) 239-3939
Fax(320) 239-2802
Organization SubpartYesParent: Stevens Community Medical Center Inc
Authorized OfficialKerrie McevillyPresident/ceo · (320) 589-1313
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1417105552 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).
501 POLER ST, Starbuck, MN 56381
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Other Names 1

Doing Business AsStarbuck Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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 Compliance 24D1038677

Stevens Community Medical Center-Starbuck Clinic · Starbuck, MN
Active · expires May 30, 2027
CLIA Number24D1038677
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorKayla J. Arnold
Laboratory Phone(320) 239-3939
Laboratory LocationStevens Community Medical Center-Starbuck Clinic501 Poler Street, Starbuck, MN 56381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

MRS. KRISTIN ELLEN AMUNDSON LPN
Licensed Practical Nurse
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 239-3939
MRS. MARY HELEN DANIELSON LPN
Licensed Practical Nurse
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 239-3939
KAYLA MARIE BOWERS
Nurse Practitioner (Family)
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 230-3939
STARBUCK CLINIC PLLC
Clinic/Center
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 239-3939
MR. GREGORY PAUL RAPP PA-C
Physician Assistant (Medical)
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 239-3939
STEVENS COMMUNITY MEDICAL CENTER INC
Clinic/Center (Rural Health)
501 POLER ST
STARBUCK, MN 56381
Pope County (320) 239-3939

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 Stevens Community Medical Center Inc.'s NPI number?

The NPI number for Stevens Community Medical Center Inc. is 1417105552. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Starbuck Clinic.

Where is Stevens Community Medical Center Inc. located?

Stevens Community Medical Center Inc. is located at 501 Poler St, Starbuck, MN 56381. The listed phone number is (320) 239-3939.

What is Stevens Community Medical Center Inc.'s specialty?

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

Does Stevens Community Medical Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D1038677) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stevens Community Medical Center Inc. accept?

Health plans from Medica and Sanford Health Plan list Stevens Community Medical Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stevens Community Medical Center Inc. was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.