Battle Lake Clinic | |
410 Lake Ave S Battle Lake MN 56515 | |
(218) 864-5283 | |
(218) 864-8452 |
Full Name | Battle Lake Clinic |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 410 Lake Ave S, Battle Lake, Minnesota |
Authorized Official Name and Position | Jim Wilkus (CEO) |
Authorized Official Contact | 2187392221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Battle Lake Clinic 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Battle Lake Clinic 410 Lake Ave S Battle Lake MN 56515 Ph: (218) 864-5283 |
NPI Number | 1376587972 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376587972 | NPI | - | NPPES |
00-01587 | Other | MN | BLC MEDICA # |
13380 | Medicaid | ND | |
115098 | Other | MN | BLC UCARE # |
62345FE | Other | MN | BLC BCBS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 44 (Minnesota) | Primary |