| Jasper Medical Clinic | |
|
120 Sherman Ave N Jasper MN 56144-1114 | |
| (507) 348-3071 | |
| (507) 348-8626 |
| Full Name | Jasper Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Sherman Ave N, Jasper, Minnesota |
| Authorized Official Name and Position | Bradley Burris (HOSPITAL ADMINSTRATOR) |
| Authorized Official Contact | 5078255811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Medical Clinic 920 4th Ave Sw Pipestone MN 56164-1455 Ph: (507) 825-5700 | Jasper Medical Clinic 120 Sherman Ave N Jasper MN 56144-1114 Ph: (507) 348-3071 |
| NPI Number | 1457448094 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457448094 | NPI | - | NPPES |
| 149723500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2569527 (Minnesota) | Primary |
Moden Medical Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Robert Ave N Apt 101, Jasper, MN 56144 Phone: 888-822-1184 Fax: 888-877-3676 |