Centracare Clinic Southwest LLC
NPI 1174106264 · Multi-Specialty Clinic/Center · Willmar, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centracare Clinic Southwest LLC is a Multi-Specialty Clinic/Center organization in Willmar, MN (NPI 1174106264).
Provider details
- NPI number
- 1174106264
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Blair, Cfo(320) 255-5665
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Frequently asked questions
- What is Centracare Clinic Southwest LLC's NPI number?
- Centracare Clinic Southwest LLC's National Provider Identifier (NPI) is 1174106264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centracare Clinic Southwest LLC?
- Centracare Clinic Southwest LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centracare Clinic Southwest LLC located?
- Centracare Clinic Southwest LLC's practice location on file with NPPES is 101 Willmar Ave Sw, Willmar, MN 56201-3556.
- What is Centracare Clinic Southwest LLC's phone number?
- The practice phone number listed in the NPPES registry for Centracare Clinic Southwest LLC is (320) 231-5000.
- Does Centracare Clinic Southwest LLC accept Medicare?
- Centracare Clinic Southwest LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centracare Clinic Southwest LLC?
- The authorized official listed on Centracare Clinic Southwest LLC's NPPES record is Michael Blair, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centracare Clinic Southwest LLC's NPI active?
- Yes — Centracare Clinic Southwest LLC's NPI (1174106264) is active in the NPPES registry as of the last update on 2022-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.