Entira Family Clinics - Hugo | |
14688 Everton Ave N Hugo MN 55038-6071 | |
(651) 788-4444 | |
(651) 429-3402 |
Full Name | Entira Family Clinics - Hugo |
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Speciality | Family Medicine |
Location | 14688 Everton Ave N, Hugo, Minnesota |
Authorized Official Name and Position | Kyle Nelson (CAO) |
Authorized Official Contact | 6517721572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Entira Family Clinics - Hugo 2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 Ph: (651) 772-1572 | Entira Family Clinics - Hugo 14688 Everton Ave N Hugo MN 55038-6071 Ph: (651) 788-4444 |
NPI Number | 1639359359 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 1355369018 |
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Medicare Enrollment ID | O20071215000036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639359359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1428 (Minnesota) | Primary |
Provider Name | Beth E Wodrich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245241629 PECOS PAC ID: 5294649232 Enrollment ID: I20031114000258 |
Provider Name | David R Rossmiller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326055088 PECOS PAC ID: 7719890326 Enrollment ID: I20040220000342 |
Provider Name | Lori M Bethke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639193261 PECOS PAC ID: 6103717665 Enrollment ID: I20040323001398 |
Provider Name | Daniel R. Stahl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235210659 PECOS PAC ID: 3476465923 Enrollment ID: I20040614000916 |
Provider Name | Ann M Barry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831141886 PECOS PAC ID: 5597728295 Enrollment ID: I20041104000231 |
Provider Name | Matthew C Monteiro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285640235 PECOS PAC ID: 4183652613 Enrollment ID: I20050727000249 |
Provider Name | James R Benzie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689696916 PECOS PAC ID: 8123058120 Enrollment ID: I20050819000043 |
Provider Name | William D Sypura |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326054180 PECOS PAC ID: 0840221883 Enrollment ID: I20050830000045 |
Provider Name | Daniel E Larkin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710940697 PECOS PAC ID: 3577597210 Enrollment ID: I20050922000553 |
Provider Name | Garrett R Trobec |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386655488 PECOS PAC ID: 5890719322 Enrollment ID: I20060123000814 |
Provider Name | Mark W Bogel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699782359 PECOS PAC ID: 4284546391 Enrollment ID: I20060424000481 |
Provider Name | Timothy J Hernandez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932110079 PECOS PAC ID: 2163334285 Enrollment ID: I20060424000516 |
Provider Name | Denise J Long |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124039177 PECOS PAC ID: 7416869532 Enrollment ID: I20060424000533 |
Provider Name | Joseph J Saccoman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487665527 PECOS PAC ID: 4486566502 Enrollment ID: I20060424000603 |
Provider Name | John P Barsanti |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144237801 PECOS PAC ID: 8921910035 Enrollment ID: I20060425000061 |
Provider Name | Ryan M Dick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619901782 PECOS PAC ID: 6406953918 Enrollment ID: I20070517000560 |
Provider Name | Michelle L Swiglo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316953086 PECOS PAC ID: 1557457272 Enrollment ID: I20071011000019 |
Provider Name | Alicia M Turenne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780610378 PECOS PAC ID: 6800985045 Enrollment ID: I20071211000281 |
Provider Name | Jeffrey D Elbers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174547723 PECOS PAC ID: 8820900947 Enrollment ID: I20071215000203 |
Provider Name | Cynthia M Frane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568473650 PECOS PAC ID: 1456264050 Enrollment ID: I20071215000222 |
Provider Name | Bruce H Leppink |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356365993 PECOS PAC ID: 9133032741 Enrollment ID: I20071217000052 |
Provider Name | Julia K Perpich |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083620769 PECOS PAC ID: 2466365077 Enrollment ID: I20071217000239 |
Provider Name | Theresa M Wollan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770599458 PECOS PAC ID: 3870406499 Enrollment ID: I20071217000638 |
Provider Name | Tara L Kelly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215967146 PECOS PAC ID: 9335219138 Enrollment ID: I20080605000612 |
Provider Name | Nicole R Vik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780614610 PECOS PAC ID: 6709922594 Enrollment ID: I20091008000271 |
Provider Name | Robyn S Tabibi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740216340 PECOS PAC ID: 5991841678 Enrollment ID: I20091009000547 |
Provider Name | Sarah E Masrud |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447413539 PECOS PAC ID: 1658418827 Enrollment ID: I20091020000497 |
Provider Name | Baubak Azar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437444338 PECOS PAC ID: 8820239114 Enrollment ID: I20140626001092 |
Provider Name | Ellen C Ratts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306214648 PECOS PAC ID: 3274834627 Enrollment ID: I20151209001451 |
Provider Name | Thomas A Haroldson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942697131 PECOS PAC ID: 0648563817 Enrollment ID: I20160726000761 |
Provider Name | Brandon C Ng |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386099851 PECOS PAC ID: 5092007880 Enrollment ID: I20170831001841 |
Provider Name | Kelly A Barnes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861802001 PECOS PAC ID: 0143548263 Enrollment ID: I20170915002360 |
Provider Name | Lynn C Elrod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982133476 PECOS PAC ID: 8921372756 Enrollment ID: I20170918002863 |
Provider Name | Casandera K Wiek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215438189 PECOS PAC ID: 7012279292 Enrollment ID: I20180328001371 |
Provider Name | Christina M Losasso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598220923 PECOS PAC ID: 9638412737 Enrollment ID: I20190513000719 |
Provider Name | Joel R Soma |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053809020 PECOS PAC ID: 3678838265 Enrollment ID: I20190729001126 |
Provider Name | Evan R Eide |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194212605 PECOS PAC ID: 9335498419 Enrollment ID: I20190807000764 |
Provider Name | Brandon R Porten |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942799895 PECOS PAC ID: 0648525832 Enrollment ID: I20190807002308 |
Provider Name | Sarah Vicenta Soma |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356839336 PECOS PAC ID: 5193075398 Enrollment ID: I20190905000835 |
Provider Name | Jessica Ruth Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093243941 PECOS PAC ID: 2769816610 Enrollment ID: I20200709002730 |
Provider Name | Mary Catherine Mohr |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275024663 PECOS PAC ID: 0345596482 Enrollment ID: I20211026000545 |
Provider Name | Lisa M Marshall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275153363 PECOS PAC ID: 5193140200 Enrollment ID: I20230823003856 |
Provider Name | Maura C Jacobi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962021162 PECOS PAC ID: 1052774429 Enrollment ID: I20230901000255 |
Kids Abilities, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path, Suite 100, Hugo, MN 55038 Phone: 651-407-3777 Fax: 651-407-7064 | |
Children's Hugo Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14701 Victor Hugo Blvd N, Hugo, MN 55038 Phone: 651-426-1141 | |
M Health Fairview Clinic - Hugo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14712 Victor Hugo Blvd N, Hugo, MN 55038 Phone: 651-466-1900 Fax: 651-466-1999 | |
Hugo Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5673 147th St N, Hugo, MN 55038 Phone: 651-429-9010 Fax: 651-429-2574 |