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1101 9th St N Virginia MN 55792-2329 | |
(218) 741-0150 | |
(218) 749-7844 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1101 9th St N, Virginia, Minnesota |
Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
Authorized Official Contact | 2187861009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1101 9th St N Virginia MN 55792-2329 Ph: (218) 741-0150 | 1101 9th St N Virginia MN 55792-2329 Ph: (218) 741-0150 |
NPI Number | 1457387441 |
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Provider Enumeration Date | 06/23/2006 |
Last Update Date | 02/28/2024 |
Medicare PECOS PAC ID | 2567374283 |
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Medicare Enrollment ID | O20100930026391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457387441 | NPI | - | NPPES |
1457387441 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Primary |
Plesha Chiropractic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Chestnut St, Virginia, MN 55792 Phone: 218-749-6287 Fax: 218-749-6288 | |
Devich Chiropractic Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 8th St S, Virginia, MN 55792 Phone: 218-741-4010 Fax: 218-741-0118 | |