| Senior Care | |
|
200 Elm St N Onamia MN 56359-7901 | |
| (320) 532-3154 | |
| (320) 532-3111 |
| Full Name | Senior Care |
|---|---|
| Speciality | Psychiatric Unit |
| 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 |
|---|---|
| Senior Care 200 Elm St N Po Box A Onamia MN 56359-7901 Ph: (320) 532-3154 | Senior Care 200 Elm St N Onamia MN 56359-7901 Ph: (320) 532-3154 |
| NPI Number | 1972763001 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 4789577834 |
|---|---|
| Medicare Enrollment ID | O20090216000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972763001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | PENDING (Minnesota) | Primary |
| Provider Name | Robert Owen Posch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518997758 PECOS PAC ID: 0143121301 Enrollment ID: I20091214000755 |
| Provider Name | Johnathan Carl Valesano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093133043 PECOS PAC ID: 2860705266 Enrollment ID: I20150714001805 |
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