| Essentia Health St. Joseph's-crosslake Clinic | |
|
35205 County Road 3 Crosslake MN 56442-4057 | |
| (218) 692-1010 | |
| (218) 692-1013 |
| Full Name | Essentia Health St. Joseph's-crosslake Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 35205 County Road 3, Crosslake, 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 St. Joseph's-crosslake Clinic 35205 County Road 3 Crosslake MN 56442-4057 Ph: (218) 692-1010 | Essentia Health St. Joseph's-crosslake Clinic 35205 County Road 3 Crosslake MN 56442-4057 Ph: (218) 692-1010 |
| NPI Number | 1477509776 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477509776 | NPI | - | NPPES |
| 750027100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 330736 (Minnesota) | Primary |
Key Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35752 Allen Ave, Crosslake, MN 56442 Phone: 218-513-4072 |