Ne-ia-shing Clinic | |
18562 Minobimaadizi Loop Onamia MN 56359 | |
(888) 622-4163 | |
Not Available |
Full Name | Ne-ia-shing Clinic |
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Speciality | Clinic/Center |
Location | 18562 Minobimaadizi Loop, Onamia, Minnesota |
Authorized Official Name and Position | Nicole Anderson (COMMISSIONER OF HEALTH & HUMAN SERV) |
Authorized Official Contact | 3205324163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ne-ia-shing Clinic 18562 Minobimaadizi Loop Onamia MN 56359-3001 Ph: (888) 622-4163 | Ne-ia-shing Clinic 18562 Minobimaadizi Loop Onamia MN 56359 Ph: (888) 622-4163 |
NPI Number | 1740357169 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 03/17/2022 |
Medicare PECOS PAC ID | 5991869471 |
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Medicare Enrollment ID | O20100902000134 |
Identifier | Type | State | Issuer |
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1740357169 | NPI | - | NPPES |
085753000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |