| Clearwater Health Services Clinic | |
|
22 Elm Street Nw Clearbrook MN 56634 | |
| (218) 694-3124 | |
| (218) 694-3184 |
| Full Name | Clearwater Health Services Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 22 Elm Street Nw, Clearbrook, Minnesota |
| Authorized Official Name and Position | Nora C Jennings (ADMIN SECRETARY) |
| Authorized Official Contact | 2186946501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Health Services Clinic Po Box 67 Clearbrook MN 56634-0067 Ph: (218) 694-3124 | Clearwater Health Services Clinic 22 Elm Street Nw Clearbrook MN 56634 Ph: (218) 694-3124 |
| NPI Number | 1114998457 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114998457 | NPI | - | NPPES |
| 899605900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Bagley Clearbrook Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Elm St Nw, Clearbrook, MN 56634 Phone: 218-694-3124 Fax: 218-694-3184 |