| |
701 Brooks Ave S Thief River Falls MN 56701-2757 | |
(615) 468-3188 | |
(218) 681-7983 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 701 Brooks Ave S, Thief River Falls, Minnesota |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | 701 Brooks Ave S Thief River Falls MN 56701-2757 Ph: (615) 468-3188 |
NPI Number | 1689161077 |
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Provider Enumeration Date | 04/20/2018 |
Last Update Date | 09/15/2022 |
Identifier | Type | State | Issuer |
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1689161077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Hope Pediatrics Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Brooks Avenue North, Thief River Falls, MN 56701 Phone: 218-681-4673 | |
Riverview Healthcare Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Vanrooy Dr, Thief River Falls, MN 56701 Phone: 218-416-5770 | |