| Altru Clinic - Warroad | |
|
412 Main Ave Ne Warroad MN 56763-2342 | |
| (218) 386-2020 | |
| Not Available |
| Full Name | Altru Clinic - Warroad |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 Main Ave Ne, Warroad, 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 - Warroad Po Box 13780 Grand Forks ND 58208-1534 Ph: (701) 780-5000 | Altru Clinic - Warroad 412 Main Ave Ne Warroad MN 56763-2342 Ph: (218) 386-2020 |
| NPI Number | 1689763195 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 1355251604 |
|---|---|
| Medicare Enrollment ID | O20221110001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689763195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lifecare Clinic Warroad Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Main Ave Ne, Warroad, MN 56763 Phone: 218-386-2020 |