CROMWELL MEDICAL CLINIC PLLC
NPI 1821250549
Clinic/Center - Primary Care in Cromwell, MN

Active since June 25, 2008CLIA 24D1085476 · Waiver
5568 CLARK AVE STE 1, CROMWELL, MN 55726(218) 644-3811(218) 644-3813 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cromwell Medical Clinic Pllc NPPES

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

CROMWELL MEDICAL CLINIC PLLC (NPI 1821250549) is a healthcare organization registered as a primary care in Cromwell, Minnesota and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Shawn F Bode, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1821250549
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCROMWELL MEDICAL CLINIC PLLC
Location Address5568 CLARK AVE STE 1Cromwell, MN 55726-5004
Mailing AddressPo Box 116Cromwell, MN 55726-0116 · (218) 485-8123 · Fax (218) 644-3811
Fax(218) 644-3813
Organization SubpartNo
Authorized OfficialShawn F BodeSole Member · (218) 485-8123
Enumeration DateJune 25, 2008
Last NPPES UpdateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1821250549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5568 CLARK AVE STE 1, Cromwell, MN 55726

Accepted 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 Waiver 24D1085476

Cromwell Medical Clinic PLLC · Cromwell, MN
Active · expires Jun 17, 2028
CLIA Number24D1085476
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorShawn F. Bode
Laboratory Phone(218) 485-8123
Laboratory LocationCromwell Medical Clinic PLLC5568 Clark Avenue, Suite 1 PO Box 116, Cromwell, MN 55726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Cromwell Medical Clinic PLLC's NPI number?

The NPI number for Cromwell Medical Clinic PLLC is 1821250549. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Cromwell Medical Clinic PLLC located?

Cromwell Medical Clinic PLLC is located at 5568 Clark Ave Ste 1, Cromwell, MN 55726. The listed phone number is (218) 644-3811.

What is Cromwell Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cromwell Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1085476) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cromwell Medical Clinic PLLC accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Cromwell Medical Clinic PLLC 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 Cromwell Medical Clinic PLLC was last updated on March 20, 2023. 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.