Sanford Clinic Canby | |
112 Saint Olaf Ave S Canby MN 56220-1433 | |
(507) 223-7221 | |
(507) 223-7886 |
Full Name | Sanford Clinic Canby |
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Speciality | Clinic/Center |
Location | 112 Saint Olaf Ave S, Canby, 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 |
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Sanford Clinic Canby Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Canby 112 Saint Olaf Ave S Canby MN 56220-1433 Ph: (507) 223-7221 |
NPI Number | 1437243607 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 6800707100 |
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Medicare Enrollment ID | O20070807000845 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437243607 | NPI | - | NPPES |
106642 | Other | UCARE | |
01014223 | Other | PREFERRED ONE | |
5100235 | Other | MEDICA | |
60171 | Other | HEALTH PARTNERS | |
367717600 | Medicaid | MN | |
5D82SI | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Jane K Willett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548236292 PECOS PAC ID: 4789727769 Enrollment ID: I20100130000350 |