| Pipestone Family Clinic | |
|
916 4th Ave Sw Pipestone MN 56164-1890 | |
| (507) 825-5700 | |
| (507) 825-4752 |
| Full Name | Pipestone Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 916 4th Ave Sw, Pipestone, Minnesota |
| Authorized Official Name and Position | Bradley Burris (HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 5078255811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pipestone Family Clinic 916 4th Ave Sw Pipestone MN 56164-1890 Ph: (507) 825-5700 | Pipestone Family Clinic 916 4th Ave Sw Pipestone MN 56164-1890 Ph: (507) 825-5700 |
| NPI Number | 1073576906 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073576906 | NPI | - | NPPES |
| 149723500 | Medicaid | MN | |
| 2569527 | Other | MN | MINNESOTA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2569527 (Minnesota) | Primary |
| 208600000X | Surgery | 2569527 (Minnesota) | Secondary |
Pipestone County Medical Center Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-5811 |