Gateway Family Health Clinic, Ltd. | |
5565 Hwy. 210 Cromwell MN 55726 | |
(218) 644-3838 | |
(218) 644-3067 |
Full Name | Gateway Family Health Clinic, Ltd. |
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Speciality | Clinic/Center |
Location | 5565 Hwy. 210, Cromwell, Minnesota |
Authorized Official Name and Position | William G. Palmer (ADMINISTRATOR) |
Authorized Official Contact | 2184854491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gateway Family Health Clinic, Ltd. 5565 Hwy. 210 Cromwell MN 55726 Ph: (218) 644-3838 | Gateway Family Health Clinic, Ltd. 5565 Hwy. 210 Cromwell MN 55726 Ph: (218) 644-3838 |
NPI Number | 1891748042 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 02/14/2008 |
Medicare PECOS PAC ID | 6305758657 |
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Medicare Enrollment ID | O20031104000556 |
Identifier | Type | State | Issuer |
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1891748042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 497 (Minnesota) | Primary |
Provider Name | Randy J Rice |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083652275 PECOS PAC ID: 3577468719 Enrollment ID: I20031202000089 |
Provider Name | Joseph F Lemker |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932119260 PECOS PAC ID: 2668375759 Enrollment ID: I20040128000069 |
Provider Name | Daniel W Hanson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1881690493 PECOS PAC ID: 5092603365 Enrollment ID: I20040708000389 |
Provider Name | Kathy Helene Brandli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265467658 PECOS PAC ID: 3870560279 Enrollment ID: I20040915000177 |
Provider Name | Dania A Kamp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386647980 PECOS PAC ID: 1456318955 Enrollment ID: I20041216000372 |
Provider Name | Sharon E Gossett |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1336192293 PECOS PAC ID: 5890740468 Enrollment ID: I20050316000572 |
Provider Name | Christopher N Thiessen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306849914 PECOS PAC ID: 1456263730 Enrollment ID: I20051116000461 |
Provider Name | Sonja M Roach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396770772 PECOS PAC ID: 0547283863 Enrollment ID: I20060112000192 |
Provider Name | Mark Harold Petry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487668034 PECOS PAC ID: 0345243671 Enrollment ID: I20060807000141 |
Provider Name | Ryan M Harden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295957116 PECOS PAC ID: 7315031507 Enrollment ID: I20070919000316 |
Provider Name | Gary T Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780687350 PECOS PAC ID: 6002972205 Enrollment ID: I20090312000327 |
Provider Name | Steve S Tekippe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194728733 PECOS PAC ID: 4385556661 Enrollment ID: I20090519000522 |
Provider Name | Raymond G Christensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902809841 PECOS PAC ID: 9032021316 Enrollment ID: I20090724000418 |
Provider Name | Paul Robert Dewey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760485387 PECOS PAC ID: 8729990007 Enrollment ID: I20100505000906 |
Provider Name | Bridget Margaret Dewey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073516647 PECOS PAC ID: 2466364740 Enrollment ID: I20100505001061 |
Provider Name | Ruth E Westra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841293446 PECOS PAC ID: 1759419195 Enrollment ID: I20100505001109 |
Provider Name | Heather Rae Danckwart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699092130 PECOS PAC ID: 0648442335 Enrollment ID: I20110930000026 |
Provider Name | Maggie B Neudecker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154647071 PECOS PAC ID: 6901078690 Enrollment ID: I20110930000046 |
Provider Name | Kathryn Dobbs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073690418 PECOS PAC ID: 1052372695 Enrollment ID: I20120424000302 |
Provider Name | Shawna J Griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578946885 PECOS PAC ID: 0749594752 Enrollment ID: I20150805006539 |
Provider Name | Hilary Claire Reich |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1306167978 PECOS PAC ID: 9537474606 Enrollment ID: I20150818006068 |
Provider Name | Nicholas Michael Taurinskas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992119291 PECOS PAC ID: 2062716574 Enrollment ID: I20170914002731 |
Provider Name | James A Mach |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245758234 PECOS PAC ID: 7315207495 Enrollment ID: I20180209002070 |
Provider Name | Sambath Cheath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245793132 PECOS PAC ID: 8527301597 Enrollment ID: I20190514001516 |
Provider Name | Mary Jaeger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346892064 PECOS PAC ID: 1355678541 Enrollment ID: I20190812000125 |
Provider Name | Anna M Bedogne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811178759 PECOS PAC ID: 5799848636 Enrollment ID: I20200218000185 |
Provider Name | Blake S Chapman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205324209 PECOS PAC ID: 6507113289 Enrollment ID: I20210709002122 |
Provider Name | Taylor A Soular |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114692712 PECOS PAC ID: 4082011671 Enrollment ID: I20210924000037 |
Provider Name | Christy Melzark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104540012 PECOS PAC ID: 2062880024 Enrollment ID: I20221122002381 |
Cromwell Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5568 Clark Ave Ste 1, Cromwell, MN 55726 Phone: 218-644-3811 Fax: 218-644-3813 |