| Gundersen St. Elizabeth's Hospital And Clinics | |
|
1200 Grant Blvd W Wabasha MN 55981-1042 | |
| (651) 565-5600 | |
| (651) 565-5670 |
| Full Name | Gundersen St. Elizabeth's Hospital And Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Grant Blvd W, Wabasha, Minnesota |
| Authorized Official Name and Position | John K Wolfe (CFO) |
| Authorized Official Contact | 6515655553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen St. Elizabeth's Hospital And Clinics 1200 Grant Blvd W Wabasha MN 55981-1042 Ph: (651) 565-5600 | Gundersen St. Elizabeth's Hospital And Clinics 1200 Grant Blvd W Wabasha MN 55981-1042 Ph: (651) 565-5600 |
| NPI Number | 1477068914 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 5092619387 |
|---|---|
| Medicare Enrollment ID | O20171215000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477068914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gundersen St. Elizabeth's Hospital And Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 Fax: 651-565-2482 |