Essentia Health Oklee Clinic | |
400 Governor Street Oklee MN 56742-0000 | |
(218) 796-4525 | |
Not Available |
Full Name | Essentia Health Oklee Clinic |
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Speciality | Clinic/Center |
Location | 400 Governor Street, Oklee, Minnesota |
Authorized Official Name and Position | Kim Bodensteiner (CFO) |
Authorized Official Contact | 2184357633 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essentia Health Oklee Clinic 400 Governor Street Oklee MN 56742-0000 Ph: (218) 796-4525 | Essentia Health Oklee Clinic 400 Governor Street Oklee MN 56742-0000 Ph: (218) 796-4525 |
NPI Number | 1174812465 |
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Provider Enumeration Date | 04/07/2011 |
Last Update Date | 10/01/2021 |
Medicare PECOS PAC ID | 3678542842 |
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Medicare Enrollment ID | O20110628000622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174812465 | NPI | - | NPPES |
381347900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |