Full Name | |
---|---|
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 |
---|---|
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) 532-3154 |
NPI Number | 1972763001 |
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Provider Enumeration Date | 06/12/2008 |
Last Update Date | 04/26/2017 |
Medicare PECOS PAC ID | 4789577834 |
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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 |
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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 |
Memengwaa Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Main St, Onamia, MN 56359 Phone: 218-839-9886 | |
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