New Life Treatment Center
NPI 1417492810 · Physician Assistant · Woodstock, MN
New Life Treatment Center is a Physician Assistant organization in Woodstock, MN (NPI 1417492810).
Provider details
- NPI number
- 1417492810
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cheryl Thacker, Executive Director(507) 777-4321
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-12-21
- Last updated
- 2016-12-21
Frequently asked questions
- What is New Life Treatment Center's NPI number?
- New Life Treatment Center's National Provider Identifier (NPI) is 1417492810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Life Treatment Center?
- New Life Treatment Center is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is New Life Treatment Center located?
- New Life Treatment Center's practice location on file with NPPES is 130 Dakota St, Woodstock, MN 56186.
- What is New Life Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for New Life Treatment Center is (507) 777-4321.
- Who is the authorized official for New Life Treatment Center?
- The authorized official listed on New Life Treatment Center's NPPES record is Cheryl Thacker, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Life Treatment Center's NPI active?
- Yes — New Life Treatment Center's NPI (1417492810) is active in the NPPES registry as of the last update on 2016-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.