| Sanford Bagley Clearbrook Clinic | |
|
22 Elm St Nw Clearbrook MN 56634 | |
| (218) 694-3124 | |
| (218) 694-3184 |
| Full Name | Sanford Bagley Clearbrook Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 22 Elm St Nw, Clearbrook, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Bagley Clearbrook Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Bagley Clearbrook Clinic 22 Elm St Nw Clearbrook MN 56634 Ph: (218) 694-3124 |
| NPI Number | 1457624272 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 5597725168 |
|---|---|
| Medicare Enrollment ID | O20120504000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457624272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Clearwater Health Services Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Elm Street Nw, Clearbrook, MN 56634 Phone: 218-694-3124 Fax: 218-694-3184 |