| Altru Clinic - Roseau | |
|
711 Delmore Dr Roseau MN 56751-1534 | |
| (218) 463-1365 | |
| Not Available |
| Full Name | Altru Clinic - Roseau |
|---|---|
| Speciality | Clinic/Center |
| Location | 711 Delmore Dr, Roseau, 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 - Roseau 711 Delmore Dr Roseau MN 56751-1534 Ph: (218) 463-1635 | Altru Clinic - Roseau 711 Delmore Dr Roseau MN 56751-1534 Ph: (218) 463-1365 |
| NPI Number | 1770672289 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 1355251604 |
|---|---|
| Medicare Enrollment ID | O20221111000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770672289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lifecare Clinic Roseau Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Delmore Dr, Ste 100, Roseau, MN 56751 Phone: 218-463-1365 | |
Jack V, Lundbohm Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 2nd St Nw, Suite A, Roseau, MN 56751 Phone: 218-463-2992 Fax: 218-463-1229 |