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653 Pillsbury Street North Suite 1 Pillager MN 56473 | |
(218) 746-4550 | |
(218) 898-7595 |
Full Name | |
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Speciality | Clinic/Center |
Location | 653 Pillsbury Street North, Pillager, Minnesota |
Authorized Official Name and Position | Craig Wolhowe (VICE PRESIDENT) |
Authorized Official Contact | 2188948600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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49725 County 83 Staples MN 56479-5280 Ph: (218) 894-1515 | 653 Pillsbury Street North Suite 1 Pillager MN 56473 Ph: (218) 746-4550 |
NPI Number | 1811988983 |
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Provider Enumeration Date | 10/28/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 1052229671 |
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Medicare Enrollment ID | O20040126000202 |
Identifier | Type | State | Issuer |
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1811988983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |