| Minnesota State University-moorhead | |
|
1104 7th Ave S Moorhead MN 56563-0001 | |
| (218) 477-2385 | |
| Not Available |
| Full Name | Minnesota State University-moorhead |
|---|---|
| Speciality | Clinic/center |
| Location | 1104 7th Ave S, Moorhead, Minnesota |
| Authorized Official Name and Position | Michelle Marian Iverson (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 2184772385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota State University-moorhead 1104 7th Ave S Moorhead MN 56563-0001 Ph: (218) 477-2385 | Minnesota State University-moorhead 1104 7th Ave S Moorhead MN 56563-0001 Ph: (218) 477-2385 |
| NPI Number | 1306384649 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306384649 | NPI | - | NPPES |
| 5512 | Other | MN | MDE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5512 (Minnesota) | Primary |
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Dakota Clinic, Ltd. - Moorhead Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Moorhead, MN 56560 Phone: 218-364-6800 Fax: 218-233-9267 | |
Essentia Health-downtown Moorhead Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Main Ave, Moorhead, MN 56560 Phone: 218-359-0399 | |
Community Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 4th Ave N, Moorhead, MN 56560 Phone: 218-236-6502 Fax: 218-236-6507 | |
United Communities Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3625 16th St S, Moorhead, MN 56560 Phone: 218-790-3453 |