Organization
South
Provider's NPPES record last updated: October 16, 2023
Overview
- Entity Type
- Organization
- NPI
- 1114374469
- Primary Specialty
- Clinic/Center — Ambulatory Surgical
- Practice Location
- Fairmont, Minnesota
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:41 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Ambulatory Surgical
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QA1903X
Practice Locations
Practice Location
717 S State St
Ste 1000
Fairmont, Minnesota 56031-4469
Phone: (507) 235-3939
Other Names
- Fairmont AscReported May 17, 2016
- Fairmont AscReported October 16, 2023
Record Information
- Enumeration Date
- May 17, 2016
- Provider's NPPES Record Last Updated
- October 16, 2023
- Certification Date
- October 16, 2023
- NPISignal NPPES Dataset
- August 2026
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