| Essentia Health Proctor Clinic | |
|
211 S Boundary Ave Proctor MN 55810-2306 | |
| (218) 624-4819 | |
| Not Available |
| Full Name | Essentia Health Proctor Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 211 S Boundary Ave, Proctor, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Proctor Clinic 211 S Boundary Ave Proctor MN 55810-2306 Ph: (218) 624-4819 | Essentia Health Proctor Clinic 211 S Boundary Ave Proctor MN 55810-2306 Ph: (218) 624-4819 |
| NPI Number | 1902103831 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902103831 | NPI | - | NPPES |
| 1902103831 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Superiorhealth Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-624-4819 Fax: 218-624-7323 |