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26362 370th Ave Hillman MN 56338-2349 | |
(320) 277-3682 | |
(320) 277-3372 |
Full Name | |
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Speciality | Clinic/Center |
Location | 26362 370th Ave, Hillman, Minnesota |
Authorized Official Name and Position | John W Unzen (CFO) |
Authorized Official Contact | 3205322581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 Elm St N Po Box A Onamia MN 56359-7901 Ph: (320) 532-3154 | 26362 370th Ave Hillman MN 56338-2349 Ph: (320) 277-3682 |
NPI Number | 1326200411 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 04/26/2017 |
Medicare PECOS PAC ID | 4789577834 |
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Medicare Enrollment ID | O20041012001489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326200411 | NPI | - | NPPES |
115808 | Other | MN | UCARE MINNESOTA |
33523MI | Other | MN | BLUE CROSS BLUE SHIELD MINNESOTA |
630994100 | Medicaid | MN |