Full Name | |
---|---|
Speciality | Family Medicine |
Location | 320 3rd Ave, Albany, Minnesota |
Authorized Official Name and Position | Steven S. Smith (VP OF FINANCE) |
Authorized Official Contact | 3206315670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
320 3rd Ave Albany MN 56307-9363 Ph: (320) 845-2157 | 320 3rd Ave Albany MN 56307-9363 Ph: (320) 845-2157 |
NPI Number | 1851495980 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 06/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851495980 | NPI | - | NPPES |
110367 | Other | MN | UCARE |
567450600 | Medicaid | MN | |
48898AL | Other | MN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |