Sanford Bagley Clinic | |
1656 Central St W Bagley MN 56621-4357 | |
(218) 694-2384 | |
(218) 694-6687 |
Full Name | Sanford Bagley Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1656 Central St W, Bagley, 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 Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Bagley Clinic 1656 Central St W Bagley MN 56621-4357 Ph: (218) 694-2384 |
NPI Number | 1972875490 |
---|---|
Provider Enumeration Date | 01/30/2012 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 5597725168 |
---|---|
Medicare Enrollment ID | O20170921000215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972875490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Heather Ann Czywczynski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285920587 PECOS PAC ID: 1456529833 Enrollment ID: I20200629003242 |
Provider Name | Kalee Browne |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215610621 PECOS PAC ID: 4688017338 Enrollment ID: I20240209000177 |
Provider Name | Kirsten Ruth Craft |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093242646 PECOS PAC ID: 2466895180 Enrollment ID: I20240209002532 |
Clearwater Health Services Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 4th St Nw, Bagley, MN 56621 Phone: 218-694-2384 Fax: 218-694-6687 | |
Essentia Health Bagley Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 Central St W, Bagley, MN 56621 Phone: 218-694-6281 Fax: 218-694-6283 |