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MANKATO CLINIC - DANIELS HEALTH CENTER
NPI 1952576126
Non-Pharmacy Dispensing Site in Saint Peter, MN

Active since April 28, 2008CLIA Certified · 3 labs
1901 OLD MINNESOTA AVE, SAINT PETER, MN 56082(507) 934-2325 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mankato Clinic - Daniels Health Center NPPES

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

MANKATO CLINIC - DANIELS HEALTH CENTER (NPI 1952576126) is a healthcare organization registered as a non-pharmacy dispensing site in Saint Peter, Minnesota and active in the NPI registry since April 2008. The organization holds 3 active CLIA laboratory certificates and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1952576126
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMANKATO CLINIC LTD
Location Address1901 OLD MINNESOTA AVESaint Peter, MN 56082-1763
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(507) 934-2325
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateApril 28, 2008
Last NPPES UpdateOctober 22, 2012
✔ NPI 1952576126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MN · 34593
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1901 OLD MINNESOTA AVE, Saint Peter, MN 56082
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Other Names 1

Doing Business AsMankato Clinic - Daniels Health Center

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 3

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 24D1016491

Mankato Clinic At Daniels Health Center · Saint Peter, MN
Active · expires Nov 2, 2027
CLIA Number24D1016491
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorRobert Gazzola
Laboratory Phone(507) 934-2325
Laboratory LocationMankato Clinic At Daniels Health Center1901 Old Minnesota Avenue, Saint Peter, MN 56082
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.

Certificate of Waiver 24D2095017

Mankato Clinic At Daniels Health Center · Saint Peter, MN
Active · expires Apr 27, 2027
CLIA Number24D2095017
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorScott G. Nelson
Laboratory Phone(507) 389-8634
Laboratory LocationMankato Clinic At Daniels Health Center1901 Old Minnesota Ave, Saint Peter, MN 56082
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D2114226

Mankato Clinic Dermatology - Rivers Edge · Saint Peter, MN
Active · expires Oct 17, 2027
CLIA Number24D2114226
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorDaniel Miller
Laboratory Phone(507) 389-8648
Laboratory LocationMankato Clinic Dermatology - Rivers EdgeRe Hospital Campus, 1900 N Sunrise Dr, Suite 300, Saint Peter, MN 56082
CLIA data matches this NPI record on: Name
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 8

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

JEFFREY THOMAS WEIDEMAN PA-C
Physician Assistant (Medical)
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 934-2325
JULIE K DRIER MD
Dermatology
1901 OLD MINNESOTA AVE, MANKATO CLINIC AT DANIELS HEALTH CENTER
ST PETER, MN 56082
Nicollet County (507) 934-2325
KENDRA LEE FINN DO
Family Medicine
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 625-1811
NICHOLAS DEVETTER DO
Family Medicine
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 625-1811
LON T KNUDSON MD
Pediatrics
1901 OLD MINNESOTA AVE, MANKATO CLINIC @ DANIELS HEALTH CENTER
SAINT PETER, MN 56082
Nicollet County (507) 934-2325
ROBERT K GAZZOLA MD
Family Medicine
1901 OLD MINNESOTA AVE, MANKATO CLINIC AT DANIELS HEALTH CENTER
ST PETER, MN 56082
Nicollet County (507) 934-2325
KRISTEN L HOLLAND M.D.
Family Medicine
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 625-1811
KATLYN MICHELLE SCHWEDER CNP
Nurse Practitioner (Family)
1901 OLD MINNESOTA AVE
SAINT PETER, MN 56082
Nicollet County (507) 934-2325

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 Mankato Clinic Ltd's NPI number?

The NPI number for Mankato Clinic Ltd is 1952576126. It was assigned to this organization in the NPPES registry on April 28, 2008. The provider is doing business as Mankato Clinic - Daniels Health Center.

Where is Mankato Clinic Ltd located?

Mankato Clinic Ltd is located at 1901 Old Minnesota Ave, Saint Peter, MN 56082. The listed phone number is (507) 934-2325.

What is Mankato Clinic Ltd's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Mankato Clinic Ltd hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mankato Clinic Ltd accept?

Health plans from Sanford Health Plan list Mankato Clinic Ltd 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 Mankato Clinic Ltd was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.