| Ivanhoe Clinic | |
|
121 W Saxon St Ivanhoe MN 56142-9504 | |
| (507) 694-1232 | |
| (507) 694-1171 |
| Full Name | Ivanhoe Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 121 W Saxon St, Ivanhoe, Minnesota |
| Authorized Official Name and Position | Richard Dean Mulder (OWNER) |
| Authorized Official Contact | 5076941232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanhoe Clinic 121 W Saxon St Ivanhoe MN 56142-9504 Ph: (507) 694-1232 | Ivanhoe Clinic 121 W Saxon St Ivanhoe MN 56142-9504 Ph: (507) 694-1232 |
| NPI Number | 1316162308 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316162308 | NPI | - | NPPES |
| 158210100 | Medicaid | MN | |
| 46119IV | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18873 (Minnesota) | Primary |
Avera Medical Group Ivanhoe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 E George St, Ivanhoe, MN 56142 Phone: 507-694-1414 | |
Hendricks Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 366 E George St, Ivanhoe, MN 56142 Phone: 507-694-1100 | |
Ivanhoe Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Norman St, Ivanhoe, MN 56142 Phone: 507-694-1100 |