Blue Earth Valley Eye Clinic Ltd | |
21 Main Street South Winnebago MN 56098 | |
(507) 893-4532 | |
(507) 893-4854 |
Full Name | Blue Earth Valley Eye Clinic Ltd |
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Speciality | Clinic/center |
Location | 21 Main Street South, Winnebago, Minnesota |
Authorized Official Name and Position | Brent Daniel Johnson (PRESIDENT) |
Authorized Official Contact | 5078934532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Earth Valley Eye Clinic Ltd Po Box 717 Winnebago MN 56098 Ph: (507) 893-4532 | Blue Earth Valley Eye Clinic Ltd 21 Main Street South Winnebago MN 56098 Ph: (507) 893-4532 |
NPI Number | 1679675680 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1679675680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Heartland Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Main St N, Winnebago, MN 56098 Phone: 507-893-3070 Fax: 507-893-3072 |