| Fergus Falls Medical Group, P.a. | |
|
615 S Mill St Fergus Falls MN 56537-2756 | |
| (218) 739-2221 | |
| (218) 739-5501 |
| Full Name | Fergus Falls Medical Group, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 615 S Mill St, Fergus Falls, Minnesota |
| Authorized Official Name and Position | John Peterson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2187392221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fergus Falls Medical Group, P.a. 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Fergus Falls Medical Group, P.a. 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 |
| NPI Number | 1285676031 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 03/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285676031 | NPI | - | NPPES |
| 00-01587 | Other | MN | FFMG MEDICA # |
| 533810700 | Medicaid | MN | |
| 62345FE | Other | MN | FFMG BCBS # |
| 10344 | Medicaid | ND | |
| 109516 | Other | MN | FFMG UCARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 44 (Minnesota) | Primary |
Danae Hautamaki Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 715-817-3086 | |
Pioneer Retirement Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1131 S Mabelle Ave, Fergus Falls, MN 56537 Phone: 218-998-1500 Fax: 218-998-1580 | |
Westridge Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 W Lincoln Ave, Suite 56, Fergus Falls, MN 56537 Phone: 218-739-5281 Fax: 218-739-5283 | |
Real Nutrition Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25212 County Highway 124, Fergus Falls, MN 56537 Phone: 218-770-9788 | |
Orthopedic & Sports Physical Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 N Tower Rd, Fergus Falls, MN 56537 Phone: 218-998-2980 Fax: 218-998-2981 |