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NEW LIFE TREATMENT CENTER
NPI 1417492810
Physician Assistant in Woodstock, MN

Active since December 21, 2016
130 DAKOTA ST, WOODSTOCK, MN 56186(507) 777-4321(507) 777-4284 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Life Treatment Center NPPES

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

NEW LIFE TREATMENT CENTER (NPI 1417492810) is a healthcare organization registered as a physician assistant in Woodstock, Minnesota and active in the NPI registry since December 2016. The organization lists Cheryl Thacker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417492810
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameNEW LIFE TREATMENT CENTER
Location Address130 DAKOTA STWoodstock, MN 56186
Mailing Address130 Dakota St SWoodstock, MN 56186-1037 · (507) 777-4321 · Fax (507) 777-4284
Phone(507) 777-4321
Fax(507) 777-4284
Organization SubpartNo
Authorized OfficialCheryl ThackerExecutive Director · (507) 777-4321
Enumeration DateDecember 21, 2016
✔ NPI 1417492810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
130 DAKOTA ST, Woodstock, MN 56186
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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

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 New Life Treatment Center's NPI number?

The NPI number for New Life Treatment Center is 1417492810. It was assigned to this organization in the NPPES registry on December 21, 2016.

Where is New Life Treatment Center located?

New Life Treatment Center is located at 130 Dakota St, Woodstock, MN 56186. The listed phone number is (507) 777-4321.

What is New Life Treatment Center's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for New Life Treatment Center was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.