Divine Providence Medical Clinic
NPI 1972660488 · Critical Access Hospital Clinic/Center · Ivanhoe, MN
Divine Providence Medical Clinic is a Critical Access Hospital Clinic/Center organization in Ivanhoe, MN (NPI 1972660488).
Provider details
- NPI number
- 1972660488
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Wilson, Ceo(507) 694-1414
- License
- 331042 (MN)
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
19 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
- 2007-01-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Divine Providence Medical Clinic's NPI number?
- Divine Providence Medical Clinic's National Provider Identifier (NPI) is 1972660488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Providence Medical Clinic?
- Divine Providence Medical Clinic is classified in the NPPES registry as Critical Access Hospital Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Providence Medical Clinic located?
- Divine Providence Medical Clinic's practice location on file with NPPES is 312 E George St, Ivanhoe, MN 56142-9707.
- What is Divine Providence Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Divine Providence Medical Clinic is (507) 694-1414.
- Who is the authorized official for Divine Providence Medical Clinic?
- The authorized official listed on Divine Providence Medical Clinic's NPPES record is Gregory Wilson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Providence Medical Clinic's NPI active?
- Yes — Divine Providence Medical Clinic's NPI (1972660488) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.