Full Name | |
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Speciality | Home Health |
Location | 200 Elm St N, Onamia, Minnesota |
Authorized Official Name and Position | John W Unzen (CFO) |
Authorized Official Contact | 3205322581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
200 Elm St N Po Box A Onamia MN 56359-7901 Ph: (320) 532-3154 | 200 Elm St N Onamia MN 56359-7901 Ph: (320) 888-4127 |
NPI Number | 1578726311 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 03/21/2016 |
Medicare PECOS PAC ID | 4789577834 |
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Medicare Enrollment ID | O20100316000915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578726311 | NPI | - | NPPES |
123281 | Other | MN | UCARE MINNESOTA |
1787ACO | Other | MN | BLUE CROSS BLUE SHIELD MINNESOTA |
190247400 | Medicaid | MN | |
5900066 | Other | MN | MEDICA |
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