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607 Demers Ave East Grand Forks MN 56721-1833 | |
(218) 773-0357 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 607 Demers Ave, East Grand Forks, Minnesota |
Authorized Official Name and Position | Derek Goebel (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7017801470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 13780 Grand Forks ND 58208-3780 Ph: (701) 780-5000 | 607 Demers Ave East Grand Forks MN 56721-1833 Ph: (218) 773-0357 |
NPI Number | 1740621556 |
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Provider Enumeration Date | 07/09/2013 |
Last Update Date | 05/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740621556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Healthy Happy Whole, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 3rd St Nw, East Grand Forks, MN 56721 Phone: 989-720-4325 | |
Riverview Healthcare Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1428 Central Ave Ne, East Grand Forks, MN 56721 Phone: 866-773-1390 | |