| Northern Medical Clinic | |
|
619 5th St Nw Bemidji MN 56601-2914 | |
| (218) 751-4144 | |
| (218) 751-3545 |
| Full Name | Northern Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 619 5th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Robyn Trepanier (CLINIC MANAGER) |
| Authorized Official Contact | 2187514144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Medical Clinic Po Box 3157 Bemidji MN 56619-3157 Ph: (218) 751-4144 | Northern Medical Clinic 619 5th St Nw Bemidji MN 56601-2914 Ph: (218) 751-4144 |
| NPI Number | 1316991334 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316991334 | NPI | - | NPPES |
| 83355NO | Other | MN | MN BLUECROSS BLUESHIELD |
| 36304 | Other | MN | MN HEALTHPARTNERS |
| CC7546 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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