1. Home
  2. Directory
  3. Minnesota
  4. Chisholm
  5. Family Medicine
  6. NPI Profile

CHISHOLM MEDICAL CLINIC
NPI 1871507632
Family Medicine in Chisholm, MN

Active since July 28, 2006
400 1ST AVE SW, SUITE 1, CHISHOLM, MN 55719(218) 254-7476 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chisholm Medical Clinic NPPES

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

CHISHOLM MEDICAL CLINIC (NPI 1871507632) is a healthcare organization registered as a family medicine in Chisholm, Minnesota and active in the NPI registry since July 2006. The organization lists William Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1871507632
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHISHOLM MEDICAL CLINIC
Location Address400 1ST AVE SW, SUITE 1Chisholm, MN 55719-2081
Mailing Address3920 13th Ave E, Suite 6Hibbing, MN 55746-3675 · (218) 263-7540 · Fax (866) 732-0699
Phone(218) 254-7476
Organization SubpartNo
Authorized OfficialWilliam WilsonOwner · (218) 254-7476
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1871507632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 1ST AVE SW, Chisholm, MN 55719
Open in Google Maps ↗

Other Identifiers 3

Other55A03CHMN · Bcbs
Medicare PINC03019MN
Medicare PINCH9913MN

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 Chisholm Medical Clinic's NPI number?

The NPI number for Chisholm Medical Clinic is 1871507632. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Chisholm Medical Clinic located?

Chisholm Medical Clinic is located at 400 1st Ave SW Suite 1, Chisholm, MN 55719. The listed phone number is (218) 254-7476.

What is Chisholm Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Chisholm Medical Clinic was last updated on April 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.