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2000 23rd St S Sartell MN 56377-4765 | |
(320) 229-5120 | |
(320) 200-3235 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2000 23rd St S, Sartell, Minnesota |
Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1200 6th Ave N Saint Cloud MN 56303-2735 Ph: () - | 2000 23rd St S Sartell MN 56377-4765 Ph: (320) 229-5120 |
NPI Number | 1780125849 |
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Provider Enumeration Date | 03/09/2017 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 2466363395 |
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Medicare Enrollment ID | O20170706003049 |
Identifier | Type | State | Issuer |
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1780125849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Well And Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 Troop Dr Unit 101, Sartell, MN 56377 Phone: 320-288-1403 | |
Hall Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 Troop Dr Unit 101, Sartell, MN 56377 Phone: 320-302-6427 | |