Organization
CENTRACARE CLINIC SOUTHWEST LLC
Active
Other names
CentraCare New London
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN MCGREARY (SR. DIRECTOR OF CLINICS)
(320) 354-2222
Entity
Organization
Contact information
Practice address
600 PETERSON PKWY, NEW LONDON, MN 56273-7823
(320) 354-2222
(320) 354-2274
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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