| Sawtooth Mountain Clinic, Inc. | |
|
513 5th Ave W Grand Marais MN 55604-3017 | |
| (218) 387-2330 | |
| (218) 387-1278 |
| Full Name | Sawtooth Mountain Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 513 5th Ave W, Grand Marais, Minnesota |
| Authorized Official Name and Position | Jeff Stoddard (CFO) |
| Authorized Official Contact | 2188778263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sawtooth Mountain Clinic, Inc. 513 5th Ave W Grand Marais MN 55604-3017 Ph: (218) 387-2330 | Sawtooth Mountain Clinic, Inc. 513 5th Ave W Grand Marais MN 55604-3017 Ph: (218) 387-2330 |
| NPI Number | 1306832894 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8224940010 |
|---|---|
| Medicare Enrollment ID | O20031017000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306832894 | NPI | - | NPPES |
| 241806 | Other | MN | MEDICARE/OSCAR CERTIFICATION |
| 744708600 | Medicaid | MN | |
| 844318100 | Medicaid | MN | |
| 873397000 | Medicaid | MN | |
| 536253900 | Medicaid | MN | |
| 639097800 | Medicaid | MN | |
| BC69144CO | Other | MN | GROUP CLAIMS-BCBS |
| 4F029TE | Other | MN | DR. TERRILL-BCBS |
| 785090500 | Medicaid | MN |
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