Gl La Crescent Clinic | |
226 N 2nd St La Crescent MN 55947-1111 | |
(608) 782-7300 | |
Not Available |
Full Name | Gl La Crescent Clinic |
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Speciality | Clinic/Center |
Location | 226 N 2nd St, La Crescent, Minnesota |
Authorized Official Name and Position | Kari B Adank (CCO) |
Authorized Official Contact | 6087758025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gl La Crescent Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gl La Crescent Clinic 226 N 2nd St La Crescent MN 55947-1111 Ph: (608) 782-7300 |
NPI Number | 1467403311 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 08/06/2021 |
Medicare PECOS PAC ID | 9638082779 |
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Medicare Enrollment ID | O20100930075984 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467403311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |