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Mankato Clinic Express, LLC

NPI 1265626964ActiveOrganization· Physician Assistant· Mankato, MN

Physician Assistant in Mankato, Minnesota, registered in NPPES in September 2007. The authorized official on file is Randy Farrow, Chief Executive Officer.

Overview

NPI1265626964
StatusActive
Entity typeOrganization
NPI issuedSep 5, 2007
Last updated in NPPESNov 12, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Mankato

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