| Chisholm Medical Clinic | |
|
400 1st Ave Sw Suite 1 Chisholm MN 55719-2081 | |
| (218) 254-7476 | |
| Not Available |
| Full Name | Chisholm Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 400 1st Ave Sw, Chisholm, Minnesota |
| Authorized Official Name and Position | William Wilson (OWNER) |
| Authorized Official Contact | 2182547476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chisholm Medical Clinic 3920 13th Ave E Suite 6 Hibbing MN 55746-3675 Ph: (218) 263-7540 | Chisholm Medical Clinic 400 1st Ave Sw Suite 1 Chisholm MN 55719-2081 Ph: (218) 254-7476 |
| NPI Number | 1871507632 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871507632 | NPI | - | NPPES |
| 55A03CH | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Essentia Health Chisholm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Nw 1st Street, Chisholm, MN 55719 Phone: 218-254-3391 |