| |
800 Medical Center Dr Fairmont MN 56031-4575 | |
(507) 238-8100 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 800 Medical Center Dr, Fairmont, Minnesota |
Authorized Official Name and Position | Terry Brandt (CHAIR ADMINISTRATION) |
Authorized Official Contact | 5073856562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
800 Medical Center Dr Fairmont MN 56031-4575 Ph: (507) 238-8100 | 800 Medical Center Dr Fairmont MN 56031-4575 Ph: (507) 238-8100 |
NPI Number | 1790212561 |
---|---|
Provider Enumeration Date | 05/11/2017 |
Last Update Date | 09/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790212561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Integrity Medical Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St Ste 600, Fairmont, MN 56031 Phone: 507-235-2924 Fax: 507-235-2923 |