| Altru Clinic - Greenbush | |
|
19120 200th St Greenbush MN 56726-9280 | |
| (218) 782-2400 | |
| Not Available |
| Full Name | Altru Clinic - Greenbush |
|---|---|
| Speciality | Clinic/Center |
| Location | 19120 200th St, Greenbush, Minnesota |
| Authorized Official Name and Position | Derek Goebel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7017801470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altru Clinic - Greenbush Po Box 13780 Grand Forks ND 58208-3780 Ph: (701) 780-5000 | Altru Clinic - Greenbush 19120 200th St Greenbush MN 56726-9280 Ph: (218) 782-2400 |
| NPI Number | 1962591438 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 1355251604 |
|---|---|
| Medicare Enrollment ID | O20221110002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962591438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lifecare Clinic Greenbush Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19120 200th St Ste 100, Greenbush, MN 56726 Phone: 218-782-2400 |