Gl Spring Grove Clinic | |
123 5th Ave Se Spring Grove MN 55974-1318 | |
(608) 782-7300 | |
Not Available |
Full Name | Gl Spring Grove Clinic |
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Speciality | Clinic/Center |
Location | 123 5th Ave Se, Spring Grove, 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 Spring Grove Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gl Spring Grove Clinic 123 5th Ave Se Spring Grove MN 55974-1318 Ph: (608) 782-7300 |
NPI Number | 1811949092 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 08/06/2021 |
Medicare PECOS PAC ID | 9638082779 |
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Medicare Enrollment ID | O20100930050894 |
Identifier | Type | State | Issuer |
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1811949092 | 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 |