Osceola Medical Center Scandia Clinic | |
21150 Ozark Ave N Scandia MN 55073-9447 | |
(715) 294-2111 | |
(715) 294-5758 |
Full Name | Osceola Medical Center Scandia Clinic |
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Speciality | Clinic/center |
Location | 21150 Ozark Ave N, Scandia, Minnesota |
Authorized Official Name and Position | Matthew W Forge (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7152945622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Osceola Medical Center Scandia Clinic Po Box 218 Osceola WI 54020-0218 Ph: (715) 294-2111 | Osceola Medical Center Scandia Clinic 21150 Ozark Ave N Scandia MN 55073-9447 Ph: (715) 294-2111 |
NPI Number | 1700195542 |
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Provider Enumeration Date | 09/28/2010 |
Last Update Date | 01/10/2020 |
Identifier | Type | State | Issuer |
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1700195542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |