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CENTRACARE CLINIC SOUTHWEST LLC
NPI 1912664889
Durable Medical Equipment & Medical Supplies in Willmar, MN

Active since November 26, 2021
101 WILLMAR AVE SW, WILLMAR, MN 56201(320) 231-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Nov 26, 2021 (2 updates tracked since 2021).

About Centracare Clinic Southwest Llc NPPES

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

CENTRACARE CLINIC SOUTHWEST LLC (NPI 1912664889) is a healthcare organization registered as a durable medical equipment & medical supplies in Willmar, Minnesota and active in the NPI registry since November 2021. The organization lists Michael Blair, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912664889
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCENTRACARE CLINIC SOUTHWEST LLC
Location Address101 WILLMAR AVE SWWillmar, MN 56201-3556
Mailing Address1406 6th Ave NSaint Cloud, MN 56303-1900 · (320) 251-2700
Phone(320) 231-5000
Organization SubpartNo
Authorized OfficialMichael BlairCfo · (320) 255-5665
Enumeration DateNovember 26, 2021
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1912664889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
101 WILLMAR AVE SW, Willmar, MN 56201
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Other Providers at the Same Location NPPES 20

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

MS. AMBER ERIN JOHNSON WHNP
Nurse Practitioner
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
FRANCES ANNE ANTKOWIAK APNP
Nurse Practitioner
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. PATRICIA A DAQUILA MD
Internal Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. MICHAEL J HODAPP MD
Pediatrics
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. RAYMOND J MELLEMA MD
Family Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. LACHLAN C SMITH MD
Obstetrics & Gynecology
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. ROBERT M KAISER MD
Family Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000
DR. GLENN C BUCHANAN MD
Obstetrics & Gynecology
101 WILLMAR AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-5000

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 Centracare Clinic Southwest LLC's NPI number?

The NPI number for Centracare Clinic Southwest LLC is 1912664889. It was assigned to this organization in the NPPES registry on November 26, 2021.

Where is Centracare Clinic Southwest LLC located?

Centracare Clinic Southwest LLC is located at 101 Willmar Ave SW, Willmar, MN 56201. The listed phone number is (320) 231-5000.

What is Centracare Clinic Southwest LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Centracare Clinic Southwest LLC was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.