| Prairie Island Community Clinic | |
|
1158 Island Blvd Welch MN 55089-9540 | |
| (651) 385-4148 | |
| (651) 385-4170 |
| Full Name | Prairie Island Community Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1158 Island Blvd, Welch, Minnesota |
| Authorized Official Name and Position | Victoria Winfrey (TRIBAL COUNCIL PRESIDENT) |
| Authorized Official Contact | 6513854105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Island Community Clinic 1158 Island Blvd Welch MN 55089-9540 Ph: (651) 385-4148 | Prairie Island Community Clinic 1158 Island Blvd Welch MN 55089-9540 Ph: (651) 385-4148 |
| NPI Number | 1821305129 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821305129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Piic Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1158 Island Blvd, Welch, MN 55089 Phone: 651-385-4148 |