Healthcare Provider Details

I. General information

NPI: 1114916046
Provider Name (Legal Business Name): NOW CARE MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 ADAMS ST
MANKATO MN
56001-4841
US

IV. Provider business mailing address

2000 PLYMOUTH RD SUITE 250
MINNETONKA MN
55305-2366
US

V. Phone/Fax

Practice location:
  • Phone: 507-625-7684
  • Fax: 507-625-2795
Mailing address:
  • Phone: 952-593-9818
  • Fax: 952-593-5187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number1026
License Number StateMN

VIII. Authorized Official

Name: JENNIFER DUNLEAVY
Title or Position: DIRECTOR HUMAN RESOURCES
Credential:
Phone: 952-767-2326