Unknown Individual – Clinic/Center, NPI 1124324272

Unknown Individual is a healthcare provider. based in Mankato, Minnesota. specializing in Clinic/Center. They hold a License No. 5494 (MN). The NPI Number for Unknown Individual is 1124324272

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124324272
Phone
(507) 625-9355
Address
201 N BROAD ST
Deactivation Date
17 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 201 N BROAD ST

    SUITE 302

    MANKATO, MN 560013585

    Phone: (507) 625-9355

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1124324272 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Mankato?
Unknown Individual currently maps to Mankato, Minnesota in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

410, South 5th Street, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1023092954
1305, Esther Lane, Owatonna, Steele County, Minnesota, 55060, United States
NPI: 1922296599

HOLLAND CENTER

Developmentally Disabled Services Day Training Agency
1160 Centre Pointe Dr
NPI: 1467641555
83, Navaho Avenue, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1477879716
South Road, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1811457369
1901 MADISON AVE STE 120
NPI: 1073149779
112 E WELCOME AVE
NPI: 1831844323