| Ivanhoe Medical Center | |
|
315 N Norman St Ivanhoe MN 56142-9580 | |
| (507) 694-1100 | |
| Not Available |
| Full Name | Ivanhoe Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 N Norman St, Ivanhoe, Minnesota |
| Authorized Official Name and Position | Jeff Gollaher (CEO) |
| Authorized Official Contact | 5072753134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanhoe Medical Center 503 E Lincoln St Po Box 106 Hendricks MN 56136-9598 Ph: (507) 275-3134 | Ivanhoe Medical Center 315 N Norman St Ivanhoe MN 56142-9580 Ph: (507) 694-1100 |
| NPI Number | 1952690034 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 09/04/2014 |
| Medicare PECOS PAC ID | 9830127356 |
|---|---|
| Medicare Enrollment ID | O20110623000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952690034 | NPI | - | NPPES |
| 243457 | Other | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 | |
Ivanhoe Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Saxon St, Ivanhoe, MN 56142 Phone: 507-694-1232 Fax: 507-694-1171 | |
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 |