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312 E George St Ivanhoe MN 56142-9707 | |
| (507) 694-1414 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 312 E George St, Ivanhoe, Minnesota |
| Authorized Official Name and Position | Debbie Streier (CEO) |
| Authorized Official Contact | 5075379160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 S Bruce St Marshall MN 56258-1934 Ph: () - | 312 E George St Ivanhoe MN 56142-9707 Ph: (507) 694-1414 |
| NPI Number | 1063949089 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063949089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Ivanhoe Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Saxon St, Ivanhoe, MN 56142 Phone: 507-694-1232 Fax: 507-694-1171 | |