| Open Door Health Center | |
|
1025 10th Ave Clarkfield MN 56223-1301 | |
| (320) 669-7564 | |
| Not Available |
| Full Name | Open Door Health Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1025 10th Ave, Clarkfield, Minnesota |
| Authorized Official Name and Position | Douglas L Jaeger (CEO) |
| Authorized Official Contact | 5073445500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Health Center 309 Holly Ln Mankato MN 56001-5422 Ph: (507) 388-2120 | Open Door Health Center 1025 10th Ave Clarkfield MN 56223-1301 Ph: (320) 669-7564 |
| NPI Number | 1245682905 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245682905 | NPI | - | NPPES |
| 201094100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 261QF0400X (Minnesota) | Primary |
S. A. Patel D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 10th Ave. Box 676, Clarkfield, MN 56223 Phone: 320-669-7564 |