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DIVINE PROVIDENCE MEDICAL CLINIC
NPI 1972660488
Clinic/Center - Critical Access Hospital in Ivanhoe, MN

Active since January 03, 2007
312 E GEORGE ST, IVANHOE, MN 56142(507) 694-1414 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Providence Medical Clinic NPPES

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

DIVINE PROVIDENCE MEDICAL CLINIC (NPI 1972660488) is a healthcare organization registered as a critical access hospital in Ivanhoe, Minnesota and active in the NPI registry since January 2007. The organization lists Gregory Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972660488
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameDIVINE PROVIDENCE MEDICAL CLINIC
Location Address312 E GEORGE STIvanhoe, MN 56142-9707
Mailing Address312 E George StIvanhoe, MN 56142-9707 · (507) 694-1414
Phone(507) 694-1414
Organization SubpartNo
Authorized OfficialGregory WilsonCeo · (507) 694-1414
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972660488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in MN · 331042
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
312 E GEORGE ST, Ivanhoe, MN 56142
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Other Providers at the Same Location NPPES 5

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

AVERA TYLER
Clinic/Center (Rural Health)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE HEALTH CENTER
Medicare Defined Swing Bed Unit
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE HEATLH CENTER
General Acute Care Hospital (Critical Access)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE HEATLH CENTER INC.
Home Health
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
AVERA MARSHALL
Nurse Practitioner (Family)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414

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 Divine Providence Medical Clinic's NPI number?

The NPI number for Divine Providence Medical Clinic is 1972660488. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Divine Providence Medical Clinic located?

Divine Providence Medical Clinic is located at 312 E George St, Ivanhoe, MN 56142. The listed phone number is (507) 694-1414.

What is Divine Providence Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

When was this NPI record last updated?

The NPPES record for Divine Providence Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.