Aazhoomog Clinic | |
45741 Grace Lake Road Sandstone MN 55072-3203 | |
(320) 384-0149 | |
(320) 384-0916 |
Full Name | Aazhoomog Clinic |
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Speciality | Clinic/Center |
Location | 45741 Grace Lake Road, Sandstone, Minnesota |
Authorized Official Name and Position | Nicole Anderson (COMMISSIONER OF HEALTH & HUMAN SERV) |
Authorized Official Contact | 3205324163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aazhoomog Clinic 18562 Minobimaadizi Loop Onamia MN 56359 Ph: (320) 532-4163 | Aazhoomog Clinic 45741 Grace Lake Road Sandstone MN 55072-3203 Ph: (320) 384-0149 |
NPI Number | 1831385509 |
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Provider Enumeration Date | 09/17/2007 |
Last Update Date | 08/10/2020 |
Medicare PECOS PAC ID | 5991869471 |
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Medicare Enrollment ID | O20090128000174 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831385509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Selah Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Main Street, Sandstone, MN 55072 Phone: 320-372-2323 | |
Gateway Family Health Clinic, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 |