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912 Main St Unit C Littlefork MN 56653-9379 | |
(218) 278-2000 | |
(218) 278-2020 |
Full Name | |
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Speciality | Clinic/Center |
Location | 912 Main St Unit C, Littlefork, Minnesota |
Authorized Official Name and Position | Robert Pastor (CEO) |
Authorized Official Contact | 2182835488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1400 Highway 71 International Falls MN 56649-2154 Ph: (218) 283-4481 | 912 Main St Unit C Littlefork MN 56653-9379 Ph: (218) 278-2000 |
NPI Number | 1508378324 |
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Provider Enumeration Date | 11/02/2017 |
Last Update Date | 06/02/2021 |
Medicare PECOS PAC ID | 1951365998 |
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Medicare Enrollment ID | O20160216001354 |
Identifier | Type | State | Issuer |
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1508378324 | NPI | - | NPPES |
243987 | Other | MN | MEDICARE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |