| Perham Health Ottertail Clinic | |
|
105 Otter Drive Ottertail MN 56571-7040 | |
| (218) 367-6111 | |
| (218) 367-6110 |
| Full Name | Perham Health Ottertail Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Otter Drive, Ottertail, Minnesota |
| Authorized Official Name and Position | Martha K Leclerc (VP) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perham Health Ottertail Clinic 720 4th St N Po Box 2010 Fargo ND 58122-0605 Ph: (218) 367-6111 | Perham Health Ottertail Clinic 105 Otter Drive Ottertail MN 56571-7040 Ph: (218) 367-6111 |
| NPI Number | 1619900289 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619900289 | NPI | - | NPPES |
| 44100700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Perham Health Ottertail Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Otter Dr, Ottertail, MN 56571 Phone: 218-367-6111 Fax: 218-367-6110 | |
Astera Health Ottertail Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Hwy 78 N, Ottertail, MN 56571 Phone: 218-367-6262 Fax: 218-367-6266 |