# SLEEP CENTER OF WILLMAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467718064
- **Authorized official:** JARAD DOUGLAS RIPPERGER (MANAGER)
- **Authorized official phone:** (320) 441-2104

## Contact information

- **Practice address:** 2100 19TH AVE SW STE 1, WILLMAR, MN 56201-5287
- **Practice address phone:** (320) 441-2104
- **Practice address fax:** (320) 441-2052
- **Mailing address:** 2100 19TH AVE SW STE 1, WILLMAR, MN 56201-5287
- **Mailing address phone:** (320) 441-2104
- **Mailing address fax:** (320) 441-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 6586527 | MN | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | MN | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/03/2019