| Edgerton Family Clinic | |
|
303 5th Avenue North Edgerton MN 56128 | |
| (507) 442-5424 | |
| (507) 442-8498 |
| Full Name | Edgerton Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 303 5th Avenue North, Edgerton, Minnesota |
| Authorized Official Name and Position | Bradley Burris (HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 5078255811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgerton Family Clinic 920 4th Ave Sw Pipestone MN 56164-1455 Ph: (507) 825-5700 | Edgerton Family Clinic 303 5th Avenue North Edgerton MN 56128 Ph: (507) 442-5424 |
| NPI Number | 1891876223 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891876223 | NPI | - | NPPES |
| 149723500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2569527 (Minnesota) | Primary |
Sanford Luverne Edgerton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Main St, Ste A, Edgerton, MN 56128 Phone: 507-449-1500 |